Rural Health
Resources by Topic: Healthcare facilities
The Economic Effects of Rural Hospital Closures
Examines the impact of a rural hospital closure on local economic outcomes. Compares economic changes in nonmetro counties experiencing a hospital closure between 2001 and 2018 to changes in a control group of nonmetro counties. Presents data on the effects of rural hospital closures on annual income, population size, unemployment, and labor force size overall and by closure type and Critical Access Hospital (CAH) and Prospective Payment System (PPS) status.
Author(s): Tyler L. Malone, Arrianna Marie Planey, Laura B. Bozovich, Kristie W. Thompson, George M. Holmes
Citation: Health Services Research, 57(3), 614-623
Date: 06/2022
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Examines the impact of a rural hospital closure on local economic outcomes. Compares economic changes in nonmetro counties experiencing a hospital closure between 2001 and 2018 to changes in a control group of nonmetro counties. Presents data on the effects of rural hospital closures on annual income, population size, unemployment, and labor force size overall and by closure type and Critical Access Hospital (CAH) and Prospective Payment System (PPS) status.
Author(s): Tyler L. Malone, Arrianna Marie Planey, Laura B. Bozovich, Kristie W. Thompson, George M. Holmes
Citation: Health Services Research, 57(3), 614-623
Date: 06/2022
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Critical Access Hospitals in TX: How Do They Compare to Other TX Hospitals?
Webinar offering an overview of Critical Access Hospitals (CAHs) in Texas. Compares CAHs in Texas with non-CAHs in Texas using multiple variables including size, staffing levels, county characteristics, rurality, and more. See video description for transcript.
Date: 06/2022
Sponsoring organization: University of Texas at Arlington Center for Rural Health and Nursing
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Webinar offering an overview of Critical Access Hospitals (CAHs) in Texas. Compares CAHs in Texas with non-CAHs in Texas using multiple variables including size, staffing levels, county characteristics, rurality, and more. See video description for transcript.
Date: 06/2022
Sponsoring organization: University of Texas at Arlington Center for Rural Health and Nursing
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Advancing Rural Health: Illinois Small and Rural Hospitals
Discusses the overall impact of the 86 small and rural hospitals in Illinois. Includes data on hospital utilization, patient demographics, economic impacts, associated community engagement and healthcare services, workforce and specialty care issues, and more. Provides county-level maps on obstetric services and location of small and rural hospitals.
Date: 06/2022
Sponsoring organization: Illinois Health and Hospital Association
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Discusses the overall impact of the 86 small and rural hospitals in Illinois. Includes data on hospital utilization, patient demographics, economic impacts, associated community engagement and healthcare services, workforce and specialty care issues, and more. Provides county-level maps on obstetric services and location of small and rural hospitals.
Date: 06/2022
Sponsoring organization: Illinois Health and Hospital Association
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MiCare Champion Cast: How 340B Benefits Rural Michigan
Podcast that explains the 340B drug pricing program and its impact on rural Michigan. Presents a discussion with stakeholders from the Mackinac Straits Health System which includes a Critical Access Hospital, Rural Health Clinic, and other healthcare facilities. Transcript available below description.
Date: 06/2022
Sponsoring organization: Michigan Health & Hospital Association
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Podcast that explains the 340B drug pricing program and its impact on rural Michigan. Presents a discussion with stakeholders from the Mackinac Straits Health System which includes a Critical Access Hospital, Rural Health Clinic, and other healthcare facilities. Transcript available below description.
Date: 06/2022
Sponsoring organization: Michigan Health & Hospital Association
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Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2020
Examines the economic and healthcare benefit of Critical Access Hospitals (CAHs) on rural communities. Looks at services provided, the economic health of CAHs, and the effect this has on their communities broadly. Includes comparisons of community benefit and patient care services indicators provided by CAHs and other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale
Date: 06/2022
Sponsoring organization: Flex Monitoring Team
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Examines the economic and healthcare benefit of Critical Access Hospitals (CAHs) on rural communities. Looks at services provided, the economic health of CAHs, and the effect this has on their communities broadly. Includes comparisons of community benefit and patient care services indicators provided by CAHs and other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale
Date: 06/2022
Sponsoring organization: Flex Monitoring Team
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The Pennsylvania Rural Health Model (PARHM): Second Annual Evaluation Report
Evaluates the second year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes during the second performance year.
Additional links: Appendix, Findings at a Glance
Date: 06/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the second year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes during the second performance year.
Additional links: Appendix, Findings at a Glance
Date: 06/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Adolescent Access to Federally Funded Clinics Providing Confidential Family Planning Following Changes to Title X Funding Regulations
Examines access to reproductive care across U.S. Census tracts for female minors aged 15 to 17 following 2019 changes in Title X funding. Identifies clinic access within a 30-minute drive in August 2018 before Title X changes and access in August 2020 after Title X changes. Includes demographic data on the impacted minors such as rural versus urban geography, census region, social vulnerability index (SVI), race/ethnicity, age, birth rate, and state minor confidentiality laws.
Author(s): Polina Krass, Vicky Tam, Jungwon Min, et al.
Citation: JAMA Network Open, 5(6)
Date: 06/2022
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Examines access to reproductive care across U.S. Census tracts for female minors aged 15 to 17 following 2019 changes in Title X funding. Identifies clinic access within a 30-minute drive in August 2018 before Title X changes and access in August 2020 after Title X changes. Includes demographic data on the impacted minors such as rural versus urban geography, census region, social vulnerability index (SVI), race/ethnicity, age, birth rate, and state minor confidentiality laws.
Author(s): Polina Krass, Vicky Tam, Jungwon Min, et al.
Citation: JAMA Network Open, 5(6)
Date: 06/2022
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2023
Comments on a May 10, 2022, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals on rate-setting in both the inpatient prospective payment systems (IPPS) and LTCH PPS, promoting stability in the IPPS and LTCH PPS, creating a permanent supplemental payment for Puerto Rico and Indian Health Service (IHS) hospitals, establishing a payment adjustment for domestic N95 respirators, adding new measures to the LTCH quality reporting program, and establishing overarching principles for measuring equity and health care quality disparities across CMS quality programs.
Date: 06/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a May 10, 2022, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals on rate-setting in both the inpatient prospective payment systems (IPPS) and LTCH PPS, promoting stability in the IPPS and LTCH PPS, creating a permanent supplemental payment for Puerto Rico and Indian Health Service (IHS) hospitals, establishing a payment adjustment for domestic N95 respirators, adding new measures to the LTCH quality reporting program, and establishing overarching principles for measuring equity and health care quality disparities across CMS quality programs.
Date: 06/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Non-Metropolitan and Metropolitan Trends in Mental Health Treatment Availability in Community Health and Community Mental Health Centers
Results of a study showing how the supply of community mental health centers (CMHCs) and community health centers (CHCs) offering mental health services changed over time, in non-metropolitan and metropolitan areas. Features statistics with breakdowns by year from 2000-2019 and by metropolitan and non-metropolitan location.
Author(s): Tyrone F. Borders, Timothy Williams, Katherine Youngen, Julia Cecil
Date: 06/2022
Sponsoring organization: Rural and Underserved Health Research Center
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Results of a study showing how the supply of community mental health centers (CMHCs) and community health centers (CHCs) offering mental health services changed over time, in non-metropolitan and metropolitan areas. Features statistics with breakdowns by year from 2000-2019 and by metropolitan and non-metropolitan location.
Author(s): Tyrone F. Borders, Timothy Williams, Katherine Youngen, Julia Cecil
Date: 06/2022
Sponsoring organization: Rural and Underserved Health Research Center
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2022
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 2 presents a report on access to care for beneficiaries in Medically Underserved Areas (MUAs), who are dually eligible for Medicare and Medicaid, or have multiple chronic conditions. Also includes chapters on alternative payment models, safety net providers, the cost of drugs covered under Medicare Part B, the accuracy of Medicare Advantage payments, the alignment of fee-for-service payment rates across ambulatory settings, and segmentation in the stand-alone Part D plan market.
Date: 06/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 2 presents a report on access to care for beneficiaries in Medically Underserved Areas (MUAs), who are dually eligible for Medicare and Medicaid, or have multiple chronic conditions. Also includes chapters on alternative payment models, safety net providers, the cost of drugs covered under Medicare Part B, the accuracy of Medicare Advantage payments, the alignment of fee-for-service payment rates across ambulatory settings, and segmentation in the stand-alone Part D plan market.
Date: 06/2022
Sponsoring organization: Medicare Payment Advisory Commission
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