Rural Health
Resources by Topic: Hospitals
Report to Congress on Medicaid and CHIP, March 2023
Reports on four aspects of Medicaid: 1) collecting and reporting Medicaid race and ethnicity data, 2) increasing the transparency and improving the collection of nursing facility payment data, 3) strengthening evidence under Medicaid drug coverage, and 4) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 4 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the number of hospitals with high levels of uncompensated care that also provide essential community services. Table 4-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on four aspects of Medicaid: 1) collecting and reporting Medicaid race and ethnicity data, 2) increasing the transparency and improving the collection of nursing facility payment data, 3) strengthening evidence under Medicaid drug coverage, and 4) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 4 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the number of hospitals with high levels of uncompensated care that also provide essential community services. Table 4-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Perspectives on the Long of COVID: From Doomscrolling to Rural Management Strategies
An overview of how Long COVID is impacting rural areas. Features a Tennessee rural health researcher sharing his Long COVID experience and a rural New York healthcare system discussing the condition's management options.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2023
Sponsoring organization: Rural Health Information Hub
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An overview of how Long COVID is impacting rural areas. Features a Tennessee rural health researcher sharing his Long COVID experience and a rural New York healthcare system discussing the condition's management options.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2023
Sponsoring organization: Rural Health Information Hub
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Rural Track Program Funding: An Erosion in Definitions of Rural Places Requires New Action
Policy position paper discussing graduate medical education (GME) in rural areas. Discusses policy changes to rural hospital classification and the impact of these changes on rural GME and rural training track programs.
Date: 03/2023
Sponsoring organization: National Rural Health Association
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Policy position paper discussing graduate medical education (GME) in rural areas. Discusses policy changes to rural hospital classification and the impact of these changes on rural GME and rural training track programs.
Date: 03/2023
Sponsoring organization: National Rural Health Association
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CMS Bundled Payments for Care Improvement Advanced Model: Fourth Evaluation Report
Fourth annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving the quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 3. Analyzes BPCI Advanced outcomes for beneficiaries from underserved communities, including beneficiaries in rural areas and areas with a high Area Deprivation Index (ADI).
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fourth annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving the quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 3. Analyzes BPCI Advanced outcomes for beneficiaries from underserved communities, including beneficiaries in rural areas and areas with a high Area Deprivation Index (ADI).
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Availability of Hospital-Based Cancer Services Before and After Rural Hospital Closure, 2008–2017
Explores the effect rural hospital closures have had on rural cancer care. Draws from American Hospital Association data from 2008 to 2017 and explores the differing outcomes hospital closures had on oncology care, radiation services, and cancer screening in rural areas.
Author(s): Whitney E. Zahnd, Peiyin Hung, Sylvia Kewei Shi, et al.
Citation: Journal of Rural Health, 39(2), 416-425
Date: 03/2023
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Explores the effect rural hospital closures have had on rural cancer care. Draws from American Hospital Association data from 2008 to 2017 and explores the differing outcomes hospital closures had on oncology care, radiation services, and cancer screening in rural areas.
Author(s): Whitney E. Zahnd, Peiyin Hung, Sylvia Kewei Shi, et al.
Citation: Journal of Rural Health, 39(2), 416-425
Date: 03/2023
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Colorado: Rural Health Facilities within County Designations, 2023
Identifies Colorado counties by rural, urban, and frontier designations and the location of Critical Access Hospitals (CAHs) and Rural Health Clinics (RHCs).
Date: 03/2023
Sponsoring organization: Colorado Rural Health Center
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Identifies Colorado counties by rural, urban, and frontier designations and the location of Critical Access Hospitals (CAHs) and Rural Health Clinics (RHCs).
Date: 03/2023
Sponsoring organization: Colorado Rural Health Center
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Modernizing Payment to Critical Access Hospitals: A Proposal for the Next Iteration of the Flex Program
Commentary briefly describing the history the Medicare Rural Hospital Flexibility Program (Flex) and Cost-Based Reimbursement (CBR) for Medicare. Outlines the challenges of CBR for Critical Access Hospitals (CAH) and proposes a new payment system.
Author(s): Clint MacKinney, Keith Mueller, Alva Ferdinand, et al.
Citation: Journal of Rural Health, 39(4), 716-718
Date: 02/2023
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Commentary briefly describing the history the Medicare Rural Hospital Flexibility Program (Flex) and Cost-Based Reimbursement (CBR) for Medicare. Outlines the challenges of CBR for Critical Access Hospitals (CAH) and proposes a new payment system.
Author(s): Clint MacKinney, Keith Mueller, Alva Ferdinand, et al.
Citation: Journal of Rural Health, 39(4), 716-718
Date: 02/2023
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Leadership Dialogue Series: Strengthening Rural Health Care with Jennifer Havens
Discussion between John Haupert, president and CEO of Grady Health System, and Jennifer Havens, CEO of UnityPoint Health – Grinnell Regional Medical Center (GRMC). Describes challenges facing rural hospitals and health systems, as well as access to maternal health services. Explores how GRMC has addressed these challenges and improved care delivery. Transcript is available by clicking the dots above the video description, then selecting Show Transcript.
Date: 02/2023
Sponsoring organization: American Hospital Association
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Discussion between John Haupert, president and CEO of Grady Health System, and Jennifer Havens, CEO of UnityPoint Health – Grinnell Regional Medical Center (GRMC). Describes challenges facing rural hospitals and health systems, as well as access to maternal health services. Explores how GRMC has addressed these challenges and improved care delivery. Transcript is available by clicking the dots above the video description, then selecting Show Transcript.
Date: 02/2023
Sponsoring organization: American Hospital Association
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Rural Hospitals Face Renewed Financial Challenges, Especially in States That Have Not Expanded Medicaid
Provides an overview of rural hospital finances before the COVID-19 pandemic and compares operating margins in hospitals in states that expanded Medicaid with those that did not expand Medicaid. Describes financial trends during pandemic. Highlights selected policy initiatives intended to support rural hospitals or restructure the rural healthcare delivery system.
Author(s): Zachary Levinson, Jamie Godwin, Scott Hulver
Date: 02/2023
Sponsoring organization: KFF
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Provides an overview of rural hospital finances before the COVID-19 pandemic and compares operating margins in hospitals in states that expanded Medicaid with those that did not expand Medicaid. Describes financial trends during pandemic. Highlights selected policy initiatives intended to support rural hospitals or restructure the rural healthcare delivery system.
Author(s): Zachary Levinson, Jamie Godwin, Scott Hulver
Date: 02/2023
Sponsoring organization: KFF
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Rural Hospitals: Community Cornerstones Facing Perilous Threats to Care
Infographic presenting data regarding the importance of rural hospitals to their communities. Includes information on workforce and financial challenges experienced by rural hospitals, as well as the impact of hospital closures on access to care. Provides recommendations on actions to support rural hospitals and communities.
Date: 02/2023
Sponsoring organization: American Hospital Association
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Infographic presenting data regarding the importance of rural hospitals to their communities. Includes information on workforce and financial challenges experienced by rural hospitals, as well as the impact of hospital closures on access to care. Provides recommendations on actions to support rural hospitals and communities.
Date: 02/2023
Sponsoring organization: American Hospital Association
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