Rural Health
Resources by Topic: Hospitals
April 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2023 meeting. Covers automatic adjustments to Disproportionate Share Hospital (DSH) allotments, DSH third-party payer policy, integrating care for dually eligible beneficiaries, access to Medicaid coverage and care for adults leaving incarceration, adult access to covered dental benefits, access to home- and community-based services, and an update on the COVID-19 public health emergency (PHE) unwinding. Includes rural references and considerations throughout.
Date: 04/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) April 2023 meeting. Covers automatic adjustments to Disproportionate Share Hospital (DSH) allotments, DSH third-party payer policy, integrating care for dually eligible beneficiaries, access to Medicaid coverage and care for adults leaving incarceration, adult access to covered dental benefits, access to home- and community-based services, and an update on the COVID-19 public health emergency (PHE) unwinding. Includes rural references and considerations throughout.
Date: 04/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Electronic Health Information Exchange: Use Has Increased, but Is Lower for Small and Rural Providers
Explores states' use of Health Information Technology for Economic and Clinical Health (HITECH) Act funding for health information exchange efforts. Examines the extent to which the use of electronic health information exchange has changed since the enactment of the HITECH Act and federal efforts that aim to address challenges to the electronic exchange of health information. Discusses differences in the electronic exchange of information between small and rural hospitals and larger, non-rural hospitals.
Additional links: Full Report
Date: 04/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Explores states' use of Health Information Technology for Economic and Clinical Health (HITECH) Act funding for health information exchange efforts. Examines the extent to which the use of electronic health information exchange has changed since the enactment of the HITECH Act and federal efforts that aim to address challenges to the electronic exchange of health information. Discusses differences in the electronic exchange of information between small and rural hospitals and larger, non-rural hospitals.
Additional links: Full Report
Date: 04/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Big Changes with the New Rural Emergency Hospital Model
Podcast episode providing an overview of the Rural Emergency Hospital designation. Discusses the role of the Rural Emergency Hospital Technical Assistance Center and the types of support it provides.
Date: 04/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode providing an overview of the Rural Emergency Hospital designation. Discusses the role of the Rural Emergency Hospital Technical Assistance Center and the types of support it provides.
Date: 04/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Analysis of Hospital Operating Margins and Provision of Safety Net Services
Explores the association between five hospital safety net services - undercompensated care measured using the Disproportionate Share Hospital index, uncompensated care, essential community services, neighborhood disadvantage, and Sole Community Hospital and Critical Access Hospital status - and hospital operating margins. Includes information on the relationship between bed count, Census region, urban/rural location, ownership status, and having a Graduate Medical Education residency program with operating margins.
Author(s): Lukas K. Gaffney, Kenneth A. Michelson
Citation: JAMA Network Open, 6(4), e238785
Date: 04/2023
Type: Document
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Explores the association between five hospital safety net services - undercompensated care measured using the Disproportionate Share Hospital index, uncompensated care, essential community services, neighborhood disadvantage, and Sole Community Hospital and Critical Access Hospital status - and hospital operating margins. Includes information on the relationship between bed count, Census region, urban/rural location, ownership status, and having a Graduate Medical Education residency program with operating margins.
Author(s): Lukas K. Gaffney, Kenneth A. Michelson
Citation: JAMA Network Open, 6(4), e238785
Date: 04/2023
Type: Document
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Better Together: Rural Hospital High-Value Networks
Examines how rural hospital high-value networks can create economies of scale and value-based care capacity in order to enter into value-based payment contracts.
Author(s): Clint MacKinney, Nate White, Brett Norell
Citation: Rural Monitor
Date: 04/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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Examines how rural hospital high-value networks can create economies of scale and value-based care capacity in order to enter into value-based payment contracts.
Author(s): Clint MacKinney, Nate White, Brett Norell
Citation: Rural Monitor
Date: 04/2023
Type: Document
Sponsoring organization: Rural Health Information Hub
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CAH Financial Indicators Report: Summary of Indicator Medians by State
Presents state and national median values of 23 financial indicators included in the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). Provides an overview of each measurement and reports mean values by state. Indicators represent six areas of financial performance: profitability, liquidity, capital structure, revenue, cost, and utilization.
Date: 04/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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Presents state and national median values of 23 financial indicators included in the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). Provides an overview of each measurement and reports mean values by state. Indicators represent six areas of financial performance: profitability, liquidity, capital structure, revenue, cost, and utilization.
Date: 04/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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Caitlin Carroll on Rural Hospital Survival
A podcast episode featuring Caitlin Carroll of the University of Minnesota's School of Public Health. Discusses the financial challenges rural hospitals face and common paths for unprofitable hospitals - continuing as-is, closure, or merging with another hospital system.
Date: 04/2023
Type: Audio
Sponsoring organization: Health Affairs
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A podcast episode featuring Caitlin Carroll of the University of Minnesota's School of Public Health. Discusses the financial challenges rural hospitals face and common paths for unprofitable hospitals - continuing as-is, closure, or merging with another hospital system.
Date: 04/2023
Type: Audio
Sponsoring organization: Health Affairs
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COVID-19 Hospitalization Trends in Rural Versus Urban Areas in the United States
Examines disparities in COVID-19 hospitalization rates between rural and urban areas in six states from May 1, 2020, to July 1, 2021. Describes differences in occupancy rates between rural and urban hospitals during the same period. Presents data by week and cumulatively over time.
Author(s): Yi Zhu, Caitlin Carroll, Khoa Vu, et al.
Citation: Medical Care Research and Review, 80(2), 236-244
Date: 04/2023
Type: Document
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Examines disparities in COVID-19 hospitalization rates between rural and urban areas in six states from May 1, 2020, to July 1, 2021. Describes differences in occupancy rates between rural and urban hospitals during the same period. Presents data by week and cumulatively over time.
Author(s): Yi Zhu, Caitlin Carroll, Khoa Vu, et al.
Citation: Medical Care Research and Review, 80(2), 236-244
Date: 04/2023
Type: Document
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Location of Critical Access Hospitals
U.S. map showing Critical Access Hospitals (CAHs). Updated quarterly.
Date: 04/2023
Type: Map/Mapping System
Sponsoring organization: Flex Monitoring Team
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U.S. map showing Critical Access Hospitals (CAHs). Updated quarterly.
Date: 04/2023
Type: Map/Mapping System
Sponsoring organization: Flex Monitoring Team
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Orientation to Rural Emergency Hospital Conversion and Technical Assistance, Additional Guidance
Recording of a March 1, 2023, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of January 2023 guidance from the Centers for Medicare & Medicaid Services, including REH action plans, transfer agreements, self-attestation to Conditions of Participation, the REH application process, and the rural status distance exception. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Additional links: Presentation Slides
Date: 03/2023
Type: Video/Multimedia
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Recording of a March 1, 2023, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of January 2023 guidance from the Centers for Medicare & Medicaid Services, including REH action plans, transfer agreements, self-attestation to Conditions of Participation, the REH application process, and the rural status distance exception. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Additional links: Presentation Slides
Date: 03/2023
Type: Video/Multimedia
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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