Rural Health
Resources by Topic: Healthcare facilities
MedPAC Report to the Congress: Medicare Payment Policy: Mandated Report: Rural Emergency Hospitals: Chapter 15
Provides an overview of the Rural Emergency Hospital (REH) designation. Discusses the evolution of Medicare's support for rural hospitals through payment policies and the impact of declining inpatient volumes on rural hospitals' financial sustainability. Describes the characteristics of hospitals that converted to REH status in 2023, the first year of the designation.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of the Rural Emergency Hospital (REH) designation. Discusses the evolution of Medicare's support for rural hospitals through payment policies and the impact of declining inpatient volumes on rural hospitals' financial sustainability. Describes the characteristics of hospitals that converted to REH status in 2023, the first year of the designation.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy: Skilled Nursing Facility Services: Chapter 6
Discusses payment adequacy for skilled nursing facility (SNF) services. Features statistics on SNF care provided by rural hospitals and Critical Access Hospitals (CAHs) via swing beds and Medicare margins for urban and rural freestanding SNFs in 2022.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Discusses payment adequacy for skilled nursing facility (SNF) services. Features statistics on SNF care provided by rural hospitals and Critical Access Hospitals (CAHs) via swing beds and Medicare margins for urban and rural freestanding SNFs in 2022.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy, 2024
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for Medicare fee-for-service payment systems, Medicare Advantage (MA), and Medicare Part D. Includes two mandated reports on special needs plans for beneficiaries dually eligible for Medicare and Medicaid and the Rural Emergency Hospital (REH) designation.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for Medicare fee-for-service payment systems, Medicare Advantage (MA), and Medicare Part D. Includes two mandated reports on special needs plans for beneficiaries dually eligible for Medicare and Medicaid and the Rural Emergency Hospital (REH) designation.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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2023 National Healthcare Quality and Disparities Report: Chartbook on Patient Safety
Summarizes trends in healthcare quality across 28 measures of patient safety. Presents findings for four settings of care: ambulatory care, home health, hospitals, and nursing homes. Describes disparities in patient safety by race/ethnicity, sex, age, and insurance status. Highlights disparities for maternal morbidity and mortality measures by rurality.
Author(s): Barbara Barton, Darryl Gray, Cecilia Hahn, et al.
Date: 03/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Summarizes trends in healthcare quality across 28 measures of patient safety. Presents findings for four settings of care: ambulatory care, home health, hospitals, and nursing homes. Describes disparities in patient safety by race/ethnicity, sex, age, and insurance status. Highlights disparities for maternal morbidity and mortality measures by rurality.
Author(s): Barbara Barton, Darryl Gray, Cecilia Hahn, et al.
Date: 03/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Mortality for Time-Sensitive Conditions at Urban vs Rural Hospitals During the COVID-19 Pandemic
Analyzed hospitalizations in 3,813 rural and urban facilities to determine patient mortality outcomes for non-COVID-19 time sensitive conditions before and during the pandemic. Discusses rural and urban disparities.
Author(s): H. Joanna Jiang, Rachel M. Henke, Kathryn R. Fingar, Lan Liang, Denis Agniel
Citation: JAMA Network Open, 7(3)
Date: 03/2024
Type: Document
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Analyzed hospitalizations in 3,813 rural and urban facilities to determine patient mortality outcomes for non-COVID-19 time sensitive conditions before and during the pandemic. Discusses rural and urban disparities.
Author(s): H. Joanna Jiang, Rachel M. Henke, Kathryn R. Fingar, Lan Liang, Denis Agniel
Citation: JAMA Network Open, 7(3)
Date: 03/2024
Type: Document
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COVID-19 Affected Rural and Urban Hospital Uncompensated Care
Offers data comparing the impact of COVID-19 on uncompensated hospital care on rural and urban facilities using Medicare Cost Report data for acute care hospitals. Discusses uncompensated care trends over time and analyzes operating expenses.
Author(s): Emmaline Keesee
Date: 03/2024
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Offers data comparing the impact of COVID-19 on uncompensated hospital care on rural and urban facilities using Medicare Cost Report data for acute care hospitals. Discusses uncompensated care trends over time and analyzes operating expenses.
Author(s): Emmaline Keesee
Date: 03/2024
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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The 340B Drug Pricing Program: A Small Part of the Prescription Drug Market, Delivering Large Benefits to Patients and Communities
Analyzes impacts of the 340B Drug Pricing Program on access, hospital finance, drug companies, and public expenditures. Discusses how the 340B program is shaped by legislation, policy, finance, prescribing patterns, and market influences. Highlights rural and underserved communities throughout.
Date: 03/2024
Type: Document
Sponsoring organization: American Hospital Association
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Analyzes impacts of the 340B Drug Pricing Program on access, hospital finance, drug companies, and public expenditures. Discusses how the 340B program is shaped by legislation, policy, finance, prescribing patterns, and market influences. Highlights rural and underserved communities throughout.
Date: 03/2024
Type: Document
Sponsoring organization: American Hospital Association
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2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report
Evaluates the quality measures used across 26 Centers for Medicare & Medicaid Services (CMS) quality reporting programs. Explores whether quality measure scores during the COVID-19 public health emergency (2020-2021) differed from expected trends. Analyzes how different population groups, including urban and rural residents, performed at a national level in order to inform future quality measure development and advance health equity. Provides statistics concerning participation and performance within Medicare quality reporting programs, including statistics specific to rural populations and facilities.
Additional links: Appendices ZIP File
Date: 03/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluates the quality measures used across 26 Centers for Medicare & Medicaid Services (CMS) quality reporting programs. Explores whether quality measure scores during the COVID-19 public health emergency (2020-2021) differed from expected trends. Analyzes how different population groups, including urban and rural residents, performed at a national level in order to inform future quality measure development and advance health equity. Provides statistics concerning participation and performance within Medicare quality reporting programs, including statistics specific to rural populations and facilities.
Additional links: Appendices ZIP File
Date: 03/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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2024-2026 Tennessee State Health Plan
Presents a plan for health improvement in Tennessee for the period 2024-2026. Describes the state of health in Tennessee, identifies priorities, and makes recommendations related to early life, care delivery, social determinants of health, and more. Highlights goals for nutrition, maternal and infant health, older adults and healthy aging, chronic conditions, cancer screening, transportation, and health workforce.
Additional links: State Health Plan Priority Areas
Date: 03/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Presents a plan for health improvement in Tennessee for the period 2024-2026. Describes the state of health in Tennessee, identifies priorities, and makes recommendations related to early life, care delivery, social determinants of health, and more. Highlights goals for nutrition, maternal and infant health, older adults and healthy aging, chronic conditions, cancer screening, transportation, and health workforce.
Additional links: State Health Plan Priority Areas
Date: 03/2024
Type: Document
Sponsoring organization: Tennessee Department of Health
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Ten-Year Outcomes: Community Health Center/Academic Medicine Partnership for Rural Family Medicine Training
Examines practice characteristics for 25 North Carolina rural pathway graduates from 2012-2022, using data from internal registries and public sources. Identifies rates of postgraduation placement in rural and federally-designated Health Professional Shortage Areas, and assesses current placements for graduates one year and three years from program completion. Features demographics with breakdowns including rural or nonrural background.
Author(s): Maria Gabriela Castro, Caroline Roberts, Emily M. Hawes, Evan Ashkin, Cristen P. Page
Citation: Family Medicine, 56(3), 185-189
Date: 03/2024
Type: Document
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Examines practice characteristics for 25 North Carolina rural pathway graduates from 2012-2022, using data from internal registries and public sources. Identifies rates of postgraduation placement in rural and federally-designated Health Professional Shortage Areas, and assesses current placements for graduates one year and three years from program completion. Features demographics with breakdowns including rural or nonrural background.
Author(s): Maria Gabriela Castro, Caroline Roberts, Emily M. Hawes, Evan Ashkin, Cristen P. Page
Citation: Family Medicine, 56(3), 185-189
Date: 03/2024
Type: Document
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