Rural Health
Resources by Topic: Hospitals
How Has the ACA Changed Finances for Different Types of Hospitals? Updated Insights from 2015 Cost Report Data
Compares the impact of whether states decided to expand Medicaid on hospital finances, including an exploration of the impact on various types of hospitals. Examines and compares hospital financial indicators such as uncompensated care, Medicaid revenue, operating margin, and excess margins from fiscal year (FY) 2011 through FY 2015. Includes an extensive discussion on the variation between metro and nonmetro hospitals, and provides tables and charts to help illustrate trends.
Author(s): Fredric Blavin
Date: 04/2017
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Compares the impact of whether states decided to expand Medicaid on hospital finances, including an exploration of the impact on various types of hospitals. Examines and compares hospital financial indicators such as uncompensated care, Medicaid revenue, operating margin, and excess margins from fiscal year (FY) 2011 through FY 2015. Includes an extensive discussion on the variation between metro and nonmetro hospitals, and provides tables and charts to help illustrate trends.
Author(s): Fredric Blavin
Date: 04/2017
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Monroe County Hospital Achieving Outcomes
Examines the gains made by Monroe County Hospital, located in Monroeville, Alabama, as part of the Small Rural Hospital Transition project. During the project, the 35-bed prospective payment system (PPS) hospital focused on improving patient education and transitions of care, integrating pharmacists, implementing bedside reporting, and reducing readmission rates. The changes have resulted in improved community engagement and prepared MCH for value-based purchasing.
Date: 04/2017
Sponsoring organization: National Rural Health Resource Center
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Examines the gains made by Monroe County Hospital, located in Monroeville, Alabama, as part of the Small Rural Hospital Transition project. During the project, the 35-bed prospective payment system (PPS) hospital focused on improving patient education and transitions of care, integrating pharmacists, implementing bedside reporting, and reducing readmission rates. The changes have resulted in improved community engagement and prepared MCH for value-based purchasing.
Date: 04/2017
Sponsoring organization: National Rural Health Resource Center
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Report to Congress on Medicaid and CHIP, March 2017
Reports on three aspects of Medicaid: Disproportionate Share Hospital (DSH) payments to states and providers, access to Medicaid, and children's coverage under CHIP. Chapter 2 includes the second annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 2-1 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals. Chapter 3 examines state policies for distributing DSH payments to hospitals, including which states target rural or Critical Access Hospitals.
Date: 03/2017
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on three aspects of Medicaid: Disproportionate Share Hospital (DSH) payments to states and providers, access to Medicaid, and children's coverage under CHIP. Chapter 2 includes the second annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 2-1 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals. Chapter 3 examines state policies for distributing DSH payments to hospitals, including which states target rural or Critical Access Hospitals.
Date: 03/2017
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid Expansion, Budgetary Projections, and Impact on Hospitals
Examines the impact of Medicaid expansion in Louisiana on rural hospitals, healthcare providers, and the state budget. Addresses the potential impact on rural hospitals of a cutback in disproportionate share (DSH) payments for uncompensated care.
Author(s): James A. Richardson, Jared J. Llorens, Roy L. Heidelberg
Date: 03/2017
Sponsoring organization: Louisiana Public Health Institute
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Examines the impact of Medicaid expansion in Louisiana on rural hospitals, healthcare providers, and the state budget. Addresses the potential impact on rural hospitals of a cutback in disproportionate share (DSH) payments for uncompensated care.
Author(s): James A. Richardson, Jared J. Llorens, Roy L. Heidelberg
Date: 03/2017
Sponsoring organization: Louisiana Public Health Institute
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Rural Hospital Environmental Impact Study
Examines the rapidly changing healthcare landscape, particularly as it relates to rural Texas, by focusing on four areas: the state of healthcare, rural hospital closures and vulnerabilities, the impact of the Affordable Care Act, and uninsurance rates. Presents information about the current and future state of healthcare in rural Texas to support rural health policymakers.
Date: 03/2017
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Examines the rapidly changing healthcare landscape, particularly as it relates to rural Texas, by focusing on four areas: the state of healthcare, rural hospital closures and vulnerabilities, the impact of the Affordable Care Act, and uninsurance rates. Presents information about the current and future state of healthcare in rural Texas to support rural health policymakers.
Date: 03/2017
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Madison County Memorial Hospital: Making the Most of FOA
Documents Madison County Memorial Hospital's (MCMH) successes from participating in the Small Rural Hospital Transition (SRHT) project. Top accomplishments include improving relationships with the community and other providers, business office operations, leadership development, and transitions of care, as well as developing outpatient rehab services. MCMH is a 25-bed, nonprofit Critical Access Hospital located in Madison, Florida.
Date: 03/2017
Sponsoring organization: National Rural Health Resource Center
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Documents Madison County Memorial Hospital's (MCMH) successes from participating in the Small Rural Hospital Transition (SRHT) project. Top accomplishments include improving relationships with the community and other providers, business office operations, leadership development, and transitions of care, as well as developing outpatient rehab services. MCMH is a 25-bed, nonprofit Critical Access Hospital located in Madison, Florida.
Date: 03/2017
Sponsoring organization: National Rural Health Resource Center
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Strategies for Superbugs: Antibiotic Stewardship for Rural Hospitals
Discusses the need for antibiotic stewardship (AS) and challenges rural hospitals face in implementing AS programs. Highlights efforts underway for a group of hospitals in Utah and at Critical Access Hospitals in Idaho and Utah.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2017
Sponsoring organization: Rural Health Information Hub
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Discusses the need for antibiotic stewardship (AS) and challenges rural hospitals face in implementing AS programs. Highlights efforts underway for a group of hospitals in Utah and at Critical Access Hospitals in Idaho and Utah.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2017
Sponsoring organization: Rural Health Information Hub
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Global Budget Process as an Alternative Payment Model
Analyzes the all-payer hospital rate-setting system of McCready Health in rural Maryland. Discusses the Total Patient Revenue (TPR) system and corresponding essential functions such as rate setting, strategic planning, and care coordination.
Date: 03/2017
Sponsoring organization: Rural Health Value
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Analyzes the all-payer hospital rate-setting system of McCready Health in rural Maryland. Discusses the Total Patient Revenue (TPR) system and corresponding essential functions such as rate setting, strategic planning, and care coordination.
Date: 03/2017
Sponsoring organization: Rural Health Value
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MedPAC Report to the Congress: Medicare Payment Policy, 2017
Provides an annual review of Medicare payment policies, with recommendations to Congress. Includes discussions on Medicare payment policies that directly affect rural providers and beneficiaries. Analyses payment adequacy for home health, skilled nursing, long-term care hospitals, hospice, ambulatory surgical centers, and rehabilitation facilities.
Date: 03/2017
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an annual review of Medicare payment policies, with recommendations to Congress. Includes discussions on Medicare payment policies that directly affect rural providers and beneficiaries. Analyses payment adequacy for home health, skilled nursing, long-term care hospitals, hospice, ambulatory surgical centers, and rehabilitation facilities.
Date: 03/2017
Sponsoring organization: Medicare Payment Advisory Commission
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Aiming for Fewer Hospital U-turns: The Medicare Hospital Readmission Reduction Program
Describes the Medicare Hospital Readmission Reduction Program (HRRP), analyzes the impact of the program on Medicare beneficiaries and healthcare facilities, and highlights identified issues regarding its implementation. Tables and charts display differences in penalties incurred by urban and rural facilities, and include estimates for FY 2017.
Author(s): Cristina Boccuti, Giselle Casillas
Date: 03/2017
Sponsoring organization: KFF
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Describes the Medicare Hospital Readmission Reduction Program (HRRP), analyzes the impact of the program on Medicare beneficiaries and healthcare facilities, and highlights identified issues regarding its implementation. Tables and charts display differences in penalties incurred by urban and rural facilities, and include estimates for FY 2017.
Author(s): Cristina Boccuti, Giselle Casillas
Date: 03/2017
Sponsoring organization: KFF
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