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Rural Health
Resources by Topic: Healthcare facilities

2023 Stability of the Rural Health Safety Net: State and National Data Tables
Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product.
Date: 02/2023
Type: Website
Sponsoring organization: Chartis Center for Rural Health
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The State of Rural Healthcare: Research Report and Outlook for 2023
Presents results of a survey of 110 rural healthcare organizations across 25 states regarding their financial health and strategic priorities. Identifies the top challenges identified by the surveyed organizations. Discusses how providers are addressing four strategic priorities, including workforce management, patient experience, financial performance, and digital transformation.
Date: 02/2023
Type: Document
Sponsoring organization: Wipfli, LLP
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Access to Oral Health Workforce Report: Part II
Evaluates and discusses patient access to oral healthcare in Pennsylvania. Provides demographic and well-being information, and analysis of variables affecting workforce outcomes and access to care. Features statistics with breakdowns by urban and rural areas.
Additional links: Executive Summary
Author(s): Sean G. Boynes, Helen Hawkey, Kelly A. Braun, et al.
Date: 01/2023
Type: Document
Sponsoring organization: Pennsylvania Coalition for Oral Health
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January 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2023 meeting. Covers Medicaid race and ethnicity data collection and reporting, nursing facility provider payment principles, challenges for states administering Medicaid home- and community-based services and access barriers for Medicaid beneficiaries, Medicaid managed care quality oversight, the unwinding of the Public Health Emergency, and more. Includes rural references and considerations throughout.
Date: 01/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Hospitals in Illinois that are Likely to Seek the Rural Emergency Hospital Designation: An Exploratory Analysis
Examines hospitals in Illinois in rural and urban locations that may potentially seek the Rural Emergency Hospital (REH) designation. Analyzes factors such as population density, size of hospital, specialist vs. utilitarian hospital, for-profit status, and more to hypothesize potential REH membership.
Author(s): Christopher Connor, Tim Collins, Kim Pierce, et al.
Date: 01/2023
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Challenges with Vaccination Data Hinder State and Local Immunization Program Efforts to Combat COVID-19
Presents results of a December 2021 survey of 56 state and local immunization programs regarding whether they receive individual-level COVID-19 vaccination data from Federal agencies and retail pharmacy partners. Discusses the impact of having incomplete individual-level vaccination data on reaching unvaccinated and vulnerable populations, including rural populations and American Indians and Alaska Natives (AI/ANs). Includes recommendations for the CDC to mitigate data gaps and ensure that state and local immunization programs are aware of existing tools to address vaccination campaign needs.
Date: 01/2023
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Care Coordination and Community Partnerships for Cancer Care in Critical Access Hospitals
Presents findings from a survey of 135 Critical Access Hospitals (CAHs) regarding care coordination practices for patients with cancer. Describes the types of care coordination services provided by CAHs and the staff that provide these services. Discusses partnerships between CAHs and community organizations regarding cancer initiatives.
Author(s): Megan Lahr, Xiomara Santana, Nathan Bean, Helen Parsons, Ira Moscovice
Date: 01/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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Community Health Centers And Medicaid: A Deeper Dive Into FQHC Alternative Payment Reform
An overview of the development of the Medicaid FQHC policy, since 1965, between Medicare and Medicaid, providing third-party financing, and CHCs, offering primary healthcare to underserved rural and urban areas. Discusses the discrepancies in Medicaid payment policies affecting CHCs, and federal legislative actions and amendments to reconcile budgets. Describes the alternative payment methodology (APM) and its effect on the prospective payment system.
Author(s): Sara Rosenbaum, Peter Shin, Jessica Shara, Colleen Bedenbaugh
Citation: Health Affairs
Date: 01/2023
Type: Document
Sponsoring organization: Health Affairs
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Community Sociodemographics and Rural Hospital Survival Analysis
Policy brief highlights the specific sociodemographic characteristics of rural communities that correlate with hospitals that are in financial distress. Examines the community factors for 985 rural hospitals in financial distress according to the Financial Distress Index from 2010 to 2019.
Author(s): Claudia A. Rhoades, Brian E. Whitacre, Alison F. Davis
Date: 01/2023
Type: Document
Sponsoring organization: Center for Economic Analysis of Rural Health
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Maintaining Compliance in Your RHC Webinar
Recording of a January 26, 2023, webinar presenting an overview of a toolkit to help Rural Health Clinics (RHCs) maintain compliance and prepare for surveys. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 01/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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