Rural Health
Resources by Topic: Healthcare facilities
North Carolina Critical Access and Small Rural Hospitals: SFY 2025
County-level map showing locations of 20 Critical Access Hospitals and 11 small rural hospitals. Shadings indicate rural counties and urban counties.
Date: 07/2024
Sponsoring organization: North Carolina Department of Health and Human Services
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County-level map showing locations of 20 Critical Access Hospitals and 11 small rural hospitals. Shadings indicate rural counties and urban counties.
Date: 07/2024
Sponsoring organization: North Carolina Department of Health and Human Services
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Report to the Thirty-Second Hawaii State Legislature for Fiscal Year 2023
Reports on revenues, capital improvement projects, and regional systems from the Hawaii Health Systems Corporation, a state agency network of public hospitals and clinics in Hawaii that predominantly serve rural areas of the state. Offers historical and current information on each facility starting on PDF page 76, including Critical Access Hospitals and Rural Health Clinics. Discusses quality improvement, renovation projects, and more.
Date: 06/2024
Sponsoring organization: Hawaii Health Systems Corporation
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Reports on revenues, capital improvement projects, and regional systems from the Hawaii Health Systems Corporation, a state agency network of public hospitals and clinics in Hawaii that predominantly serve rural areas of the state. Offers historical and current information on each facility starting on PDF page 76, including Critical Access Hospitals and Rural Health Clinics. Discusses quality improvement, renovation projects, and more.
Date: 06/2024
Sponsoring organization: Hawaii Health Systems Corporation
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Assessing Medicaid Payment Rates and Costs of Caring for the Medicaid Population Residing in Nursing Homes
Explores the relationship between Medicaid per diem payment rates to nursing homes and facilities' costs of providing care to Medicaid patients for facilities with a fiscal year ending on June 30, 2019. Examines the determinants of average cost and payment variations across each state. Presents data by facility-level characteristics, including ownership status, chain affiliation, rural or urban location, and more.
Date: 06/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Miami University, RTI International, University of Massachusetts
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Explores the relationship between Medicaid per diem payment rates to nursing homes and facilities' costs of providing care to Medicaid patients for facilities with a fiscal year ending on June 30, 2019. Examines the determinants of average cost and payment variations across each state. Presents data by facility-level characteristics, including ownership status, chain affiliation, rural or urban location, and more.
Date: 06/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Miami University, RTI International, University of Massachusetts
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Report to the Secretary of Health and Human Services: Encouraging Rural Participation in Population-Based Total Cost of Care (PB-TCOC) Models
Summarizes findings from the Physician-Focused Payment Model Technical Advisory Committee's (PTAC) review of information on best practices for addressing rural health challenges and encouraging rural participation in value-based care and PB-TCOC models. Describes the importance of addressing challenges affecting patients and providers in rural communities, developing financial incentives and glide paths to encourage rural participation in value-based care, and measuring and incentivizing value-based care and social determinants of health for patients in rural areas. Identifies areas where areas where additional research is needed, considerations for policymakers, and potential next steps.
Date: 06/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Summarizes findings from the Physician-Focused Payment Model Technical Advisory Committee's (PTAC) review of information on best practices for addressing rural health challenges and encouraging rural participation in value-based care and PB-TCOC models. Describes the importance of addressing challenges affecting patients and providers in rural communities, developing financial incentives and glide paths to encourage rural participation in value-based care, and measuring and incentivizing value-based care and social determinants of health for patients in rural areas. Identifies areas where areas where additional research is needed, considerations for policymakers, and potential next steps.
Date: 06/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Healthcare Spending among Diverse Populations with Alzheimer's Disease and Related Dementias: A Claims-Based Analysis
Examines healthcare spending and utilization among commercially insured Alzheimer's disease and related dementia (ADRD) patients. Explores the impact of race and ethnicity, poverty, and urban/rural status on annual spending among ADRD patients by analyzing data from the FAIR Health National Private Insurance Claims between January 2016 and December 2023, along with demographic and socioeconomic data from the U.S. Census American Community Survey. Includes data on the probability of ADRD patients using different care venues and the average and expected amounts allowed within each venue based on sociodemographic characteristics.
Date: 06/2024
Sponsoring organization: FAIR Health
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Examines healthcare spending and utilization among commercially insured Alzheimer's disease and related dementia (ADRD) patients. Explores the impact of race and ethnicity, poverty, and urban/rural status on annual spending among ADRD patients by analyzing data from the FAIR Health National Private Insurance Claims between January 2016 and December 2023, along with demographic and socioeconomic data from the U.S. Census American Community Survey. Includes data on the probability of ADRD patients using different care venues and the average and expected amounts allowed within each venue based on sociodemographic characteristics.
Date: 06/2024
Sponsoring organization: FAIR Health
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Nurse Staffing Estimates in US Nursing Homes, May 2024
Provides an overview of the Centers for Medicare & Medicaid Services (CMS) April 2024 final rule that established minimum nurse staffing requirements for nursing homes. Analyzes May 2024 data from Nursing Home Care Compare to examine current staffing levels in U.S. nursing homes relative to specific minimum staffing requirements in the final rule. Includes an illustrative example of a 100-bed facility to explore how many nurse staff would need to be added per shift during the final rule's implementation phase to meet or exceed the final rule's minimum requirements. Presents data by facility characteristics, including ownership type, rural or urban location, and bed size.
Author(s): Martin Blanco, Iara Oliveira, Marie Squillace, Damian Da Costa
Date: 06/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of the Centers for Medicare & Medicaid Services (CMS) April 2024 final rule that established minimum nurse staffing requirements for nursing homes. Analyzes May 2024 data from Nursing Home Care Compare to examine current staffing levels in U.S. nursing homes relative to specific minimum staffing requirements in the final rule. Includes an illustrative example of a 100-bed facility to explore how many nurse staff would need to be added per shift during the final rule's implementation phase to meet or exceed the final rule's minimum requirements. Presents data by facility characteristics, including ownership type, rural or urban location, and bed size.
Author(s): Martin Blanco, Iara Oliveira, Marie Squillace, Damian Da Costa
Date: 06/2024
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rising Through the Ranks: Q&A with Rural Hospital President Soniya Fidler
An interview with UCHealth Yampa Valley Medical Center President Soniya Fidler, who reflects on the journey that took her from an entry-level hospital position to a leadership role and shares insights about the skills needed to transition from management to leadership.
Author(s): Hallie Vonk
Citation: Rural Monitor
Date: 06/2024
Sponsoring organization: Rural Health Information Hub
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An interview with UCHealth Yampa Valley Medical Center President Soniya Fidler, who reflects on the journey that took her from an entry-level hospital position to a leadership role and shares insights about the skills needed to transition from management to leadership.
Author(s): Hallie Vonk
Citation: Rural Monitor
Date: 06/2024
Sponsoring organization: Rural Health Information Hub
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2018-23 Profitability of Rural Hospitals by Ownership and System Affiliation
Examines the profitability of rural hospitals according to system affiliation and ownership type: government, not-for-profit, or for-profit. Utilizes 2018-2023 data to provide graphs showing total margin of rural hospitals by system affiliation and ownership.
Author(s): Sruthi Malavika Srinivasan, Kristie Thompson, George Pink
Date: 06/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the profitability of rural hospitals according to system affiliation and ownership type: government, not-for-profit, or for-profit. Utilizes 2018-2023 data to provide graphs showing total margin of rural hospitals by system affiliation and ownership.
Author(s): Sruthi Malavika Srinivasan, Kristie Thompson, George Pink
Date: 06/2024
Sponsoring organization: North Carolina Rural Health Research Program
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2018‐23 Profitability of Rural and Urban Hospitals by Medicare Payment Designation
Examines the profitability of rural and urban hospitals according to special Medicare payment designations, including: Critical Access Hospitals (CAHs), Prospective Payment System (PPS) hospitals, Medicare Dependent Hospitals (MDHs), Sole Community Hospitals (SCHs), Rural Referral Centers (RRCs), and Essential Access Community Hospitals (EAC). Utilizes 2018-2023 data to analyze hospital profitability by rural versus urban status and facility/payment type.
Author(s): Sruthi Malavika Srinivasan, Kristie Thompson, George Pink
Date: 06/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the profitability of rural and urban hospitals according to special Medicare payment designations, including: Critical Access Hospitals (CAHs), Prospective Payment System (PPS) hospitals, Medicare Dependent Hospitals (MDHs), Sole Community Hospitals (SCHs), Rural Referral Centers (RRCs), and Essential Access Community Hospitals (EAC). Utilizes 2018-2023 data to analyze hospital profitability by rural versus urban status and facility/payment type.
Author(s): Sruthi Malavika Srinivasan, Kristie Thompson, George Pink
Date: 06/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Differences in Use of Veterans Health Administration and Non-VHA Hospitals by Rural and Urban Veterans After Access Expansions
Presents a study on rural and urban differences in acute inpatient care utilization in Veterans Health Administration (VHA) and non-VHA hospitals following expansions to the Veterans Choice Act. Breaks down data by patient characteristics, such as age and sex, among others.
Author(s): Matthew P. Dizon, Kenneth W. Kizer, Michael K. Ong, et al.
Citation: Journal of Rural Health, 40(3), 446-456
Date: 06/2024
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Presents a study on rural and urban differences in acute inpatient care utilization in Veterans Health Administration (VHA) and non-VHA hospitals following expansions to the Veterans Choice Act. Breaks down data by patient characteristics, such as age and sex, among others.
Author(s): Matthew P. Dizon, Kenneth W. Kizer, Michael K. Ong, et al.
Citation: Journal of Rural Health, 40(3), 446-456
Date: 06/2024
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