Rural Health
Resources by Topic: Hospitals
Vermont's All-Payer Accountable Care Organization Model: Mt. Ascutney Hospital and Health Center's Experience
Profiles Mt. Ascutney Hospital and Health Center (MAHHC), a Critical Access Hospital and health center partnership in central Vermont. Describes how MAHHC provides care differently as a participant in the OneCare Vermont accountable care organization (ACO). Discusses how MAHHC adapted healthcare delivery during the COVID-19 pandemic. Highlights challenges and financial implications of MAHHC's participation in OneCare Vermont.
Date: 03/2022
Sponsoring organization: Rural Health Value
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Profiles Mt. Ascutney Hospital and Health Center (MAHHC), a Critical Access Hospital and health center partnership in central Vermont. Describes how MAHHC provides care differently as a participant in the OneCare Vermont accountable care organization (ACO). Discusses how MAHHC adapted healthcare delivery during the COVID-19 pandemic. Highlights challenges and financial implications of MAHHC's participation in OneCare Vermont.
Date: 03/2022
Sponsoring organization: Rural Health Value
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Report to Congress on Medicaid and CHIP, March 2022
Reports on five aspects of Medicaid: 1) transitioning Medicaid beneficiaries out of institutions and back into the community under the Money Follows the Person (MFP) demonstration program, 2) improving access to vaccines and vaccination rates for adults enrolled in Medicaid, and 3) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 3 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 amounts and sources of hospitals' uncompensated care costs. Table 3-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on five aspects of Medicaid: 1) transitioning Medicaid beneficiaries out of institutions and back into the community under the Money Follows the Person (MFP) demonstration program, 2) improving access to vaccines and vaccination rates for adults enrolled in Medicaid, and 3) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 3 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 amounts and sources of hospitals' uncompensated care costs. Table 3-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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An Inventory of State Flex Program Population Health Initiatives for Fiscal Years 2019-2023
Provides an overview of Medicare Rural Hospital Flexibility (Flex) Program funding for initiatives to improve rural population health under Program Area 3: Population Health Improvement. Offers a state-by-state summary of State Flex Program (SFP) population health initiatives between fiscal years 2019 and 2021. Details output and process measures, outcome measures, and SFP partners for each initiative.
Author(s): Celia Jewell, Sara Kahn-Troster, Zachariah Croll, John Gale
Date: 03/2022
Sponsoring organization: Flex Monitoring Team
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Provides an overview of Medicare Rural Hospital Flexibility (Flex) Program funding for initiatives to improve rural population health under Program Area 3: Population Health Improvement. Offers a state-by-state summary of State Flex Program (SFP) population health initiatives between fiscal years 2019 and 2021. Details output and process measures, outcome measures, and SFP partners for each initiative.
Author(s): Celia Jewell, Sara Kahn-Troster, Zachariah Croll, John Gale
Date: 03/2022
Sponsoring organization: Flex Monitoring Team
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Evaluating State Flex Program Population Health Activities
Provides an overview of the expectations for the Medicare Rural Hospital Flexibility (Flex) Program under Program Area 3: Population Health Improvement and summarizes State Flex Program (SFP) initiatives under this program area. Describes promising population health strategies implemented by SFPs and challenges to measuring the impact of these activities. Explores how Flex Program population health efforts can align with the U.S. Department of Health and Human Services' Healthy Rural Hometown Initiative (HRHI).
Author(s): John Gale, Celia Jewell, Sara Kahn-Troster, Zachariah Croll
Date: 03/2022
Sponsoring organization: Flex Monitoring Team
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Provides an overview of the expectations for the Medicare Rural Hospital Flexibility (Flex) Program under Program Area 3: Population Health Improvement and summarizes State Flex Program (SFP) initiatives under this program area. Describes promising population health strategies implemented by SFPs and challenges to measuring the impact of these activities. Explores how Flex Program population health efforts can align with the U.S. Department of Health and Human Services' Healthy Rural Hometown Initiative (HRHI).
Author(s): John Gale, Celia Jewell, Sara Kahn-Troster, Zachariah Croll
Date: 03/2022
Sponsoring organization: Flex Monitoring Team
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Rural Emergency Hospital Conversion: Critical Factors for EMS Support
Policy position paper focused on emergency medical services (EMS) in communities with hospitals converting to Rural Emergency Hospital (REH) status. Outlines barriers to EMS delivery in rural areas including funding, workforce, and community engagement and support. Includes policy recommendations.
Author(s): Julie Bosak, Jed Hansen
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Policy position paper focused on emergency medical services (EMS) in communities with hospitals converting to Rural Emergency Hospital (REH) status. Outlines barriers to EMS delivery in rural areas including funding, workforce, and community engagement and support. Includes policy recommendations.
Author(s): Julie Bosak, Jed Hansen
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Critical Access Hospitals & Small Hospital Improvement Program Grantees in Oklahoma, 2022
Map of Oklahoma counties identifying the location of Critical Access Hospitals and Small Hospital Improvement Program Grantees.
Date: 02/2022
Sponsoring organization: Oklahoma State University Center for Rural Health
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Map of Oklahoma counties identifying the location of Critical Access Hospitals and Small Hospital Improvement Program Grantees.
Date: 02/2022
Sponsoring organization: Oklahoma State University Center for Rural Health
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The Problem Of The Color Line: Spatial Access To Hospital Services For Minoritized Racial And Ethnic Groups
Study examining healthcare access by race and geography, covering distances to hospital services for minoritized ZIP Code Tabulation Areas (ZTCAs). Discusses factors that lead to disparities in access for rural minority communities, including policy, rural hospital closures, and safety-net program issues.
Additional links: Story Map: The Problem Of The Color Line
Author(s): Jan M. Eberth, Peiyin Hung, Gabriel A. Benavidez, et al.
Citation: Health Affairs, 41(2), 237-246
Date: 02/2022
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Study examining healthcare access by race and geography, covering distances to hospital services for minoritized ZIP Code Tabulation Areas (ZTCAs). Discusses factors that lead to disparities in access for rural minority communities, including policy, rural hospital closures, and safety-net program issues.
Additional links: Story Map: The Problem Of The Color Line
Author(s): Jan M. Eberth, Peiyin Hung, Gabriel A. Benavidez, et al.
Citation: Health Affairs, 41(2), 237-246
Date: 02/2022
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Pandemic Increases Pressure on Rural Hospitals & Communities: Vulnerability, Health Inequity and Staffing Crisis Amplified in Pandemic's Third Year
Examines the stability of the rural healthcare safety net. Discusses disparities between rural and urban communities and communities with hospitals vulnerable to closure. Describes the benefits of COVID-19 relief funding on rural hospitals and how scheduled reimbursement cuts and staffing shortages could impact hospitals' financial stability. Also discusses how staffing shortages impact access to obstetrics and chemotherapy care in rural areas.
Date: 02/2022
Sponsoring organization: Chartis Center for Rural Health
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Examines the stability of the rural healthcare safety net. Discusses disparities between rural and urban communities and communities with hospitals vulnerable to closure. Describes the benefits of COVID-19 relief funding on rural hospitals and how scheduled reimbursement cuts and staffing shortages could impact hospitals' financial stability. Also discusses how staffing shortages impact access to obstetrics and chemotherapy care in rural areas.
Date: 02/2022
Sponsoring organization: Chartis Center for Rural Health
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Chartis Center for Rural Health Research & Resources for the 2022 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes Pandemic Increases Pressure on Rural Hospitals & Communities: Vulnerability, Health Inequity and Staffing Crisis Amplified in Pandemic's Third Year and presentation slides on this report from the 2022 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2022
Sponsoring organization: Chartis Center for Rural Health
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Offers research and analysis of the stability of the rural healthcare safety net. Includes Pandemic Increases Pressure on Rural Hospitals & Communities: Vulnerability, Health Inequity and Staffing Crisis Amplified in Pandemic's Third Year and presentation slides on this report from the 2022 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2022
Sponsoring organization: Chartis Center for Rural Health
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CMS Bundled Payments for Care Improvement Advanced Model: Third Evaluation Report
Third 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 quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care through Model Years 1 and 2, Medicare savings in Model Years 1 and 2, and how the COVID-19 pandemic affected BPCI Advanced participants through June 30, 2020.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 02/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Third 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 quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care through Model Years 1 and 2, Medicare savings in Model Years 1 and 2, and how the COVID-19 pandemic affected BPCI Advanced participants through June 30, 2020.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 02/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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