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Rural Health
Resources by Topic: Sole Community Hospitals

Delta Region Community Health Systems Development (DRCHSD) Program: 340B Drug Pricing Program Guide
Provides rural hospital administrators with information regarding the 340B Drug Pricing Program. Offers State Offices of Rural Health (SORHs) directors and Flex Program coordinators a better understanding of the process hospitals must abide by to participate in the 340B Program.
Author(s): BKD CPAs & Advisors
Date: 10/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Medicare Payment Basics: Outpatient Hospital Services Payment System
Outlines Medicare's payments for outpatient hospital services. Features considerations for rural sole community hospitals.
Date: 10/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicaid: States' Use and Distribution of Supplemental Payments to Hospitals
Examines the use of disproportionate share hospital (DSH) payments, which are given to hospitals with more Medicaid and uninsured patients. Addresses differences in state Medicaid expansion status, uninsured percentage, and uncompensated care in relation to DSH payments. Includes state data on DSH payments and uncompensated care costs by rural/urban hospital location, as well as data on Critical Access Hospital (CAH) and Sole Community Hospital DSH payments by state.
Additional links: Full Report
Date: 07/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Oregon Rural Hospitals
Shows a county-level map of Oregon identifying the location of rural hospitals including Critical Access Hospitals (CAHs), non-CAHs, and sole community hospitals.
Date: 07/2019
Type: Map/Mapping System
Sponsoring organization: Oregon Office of Rural Health
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2019
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural to urban throughout. Chart 6-1 addresses rural hospital closures.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Guadalupe County Hospital Surpassing Six Month SRHT Goals
Features a Sole Community Hospital in Santa Rosa, New Mexico that participated in the Small Rural Hospital Transition (SRHT) project. Focuses on their use of LEAN to reduce days net accounts receivable, as well as their increase in services provided, non-measurable impacts, and more.
Date: 01/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Drug Discount Program: Characteristics of Hospitals Participating and Not Participating in the 340B Program
Analyzes 2016 cost report data to describe and compare characteristics of 340B participating and non-participating hospitals, specifically examining three hospital types: Critical Access Hospitals (CAHs), Sole Community Hospitals (SCHs), and general acute care hospitals. Discusses trends related to decreased charity care and an increase in Medicaid expansion on 340B hospital participation.
Additional links: Full Report
Date: 07/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Differences in Community Characteristics of Sole Community Hospitals
Findings brief presenting a snapshot of Sole Community Hospitals (SCHs) and their communities in 2015, and identifying trends in characteristics of selected SCHs and their communities from 2006 through 2015. Features statistics including breakdowns by large rural, small rural, and isolated rural location.
Author(s): Sharita R. Thomas, Mark Holmes, George H. Pink
Date: 11/2017
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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The Financial Importance of the Sole Community Hospital Payment Designation
Investigates the economic importance of the Sole Community Hospital (SCH) program by reviewing data between 2006 and 2015 regarding the proportion of SCHs reimbursed at the hospital-specific rate, and their profitability of providing services to Medicare patients. Also, discusses the economic consequences that would occur if the SCH program was not in operation in 2015.
Author(s): Sharita R. Thomas, Randy Randolph, G. Mark Holmes, George H. Pink
Date: 11/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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2012-14 Profitability of Urban and Rural Hospitals by Medicare Payment Classification
Compares the total margin and operating margin of rural and urban hospitals using 2012-2014 profitability data. Analysis divides rural hospitals by the size of the prospective payment system and by the Medicare payment classification – Critical Access Hospitals (CAHs), Medicare dependent hospitals, sole community hospitals, and rural referral centers.
Author(s): Sharita R. Thomas, G. Mark Holmes, George H. Pink
Date: 03/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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