Rural Health
Resources by State: State-by-state
Using the Updated Financial Distress Index to Describe Relative Risk of Hospital Financial Distress
Describes the relative risk of rural hospitals and selected urban hospitals experiencing financial distress in 2023. Provides an overview of an updated Financial Distress Index (FDI), which incorporates variables reflecting changes to operational environments since the publication of the 2017 FDI to predict and analyze financial distress and risk of rural hospital closure. Presents data on the characteristics of hospitals by relative risk of financial distress in 2023 and the number of hospitals in each state across in category of relative risk of financial distress.
Author(s): Tyler Malone, George Pink, Kristie Thompson, Mark Holmes
Date: 04/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Describes the relative risk of rural hospitals and selected urban hospitals experiencing financial distress in 2023. Provides an overview of an updated Financial Distress Index (FDI), which incorporates variables reflecting changes to operational environments since the publication of the 2017 FDI to predict and analyze financial distress and risk of rural hospital closure. Presents data on the characteristics of hospitals by relative risk of financial distress in 2023 and the number of hospitals in each state across in category of relative risk of financial distress.
Author(s): Tyler Malone, George Pink, Kristie Thompson, Mark Holmes
Date: 04/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Locations and Characteristics of Pharmacy Deserts in the United States: A Geospatial Study
Classifies census tracts as pharmacy deserts or non-pharmacy deserts. Compares pharmacy desert and non-pharmacy desert areas by various social determinants of health and pharmacy characteristics including rurality. See the supplemental materials for state-by-state and rural/urban comparisons.
Author(s): Rachel Wittenauer, Parth D. Shah, Jennifer L. Bacci, Andy Stergachis
Citation: Health Affairs Scholar, 2(4)
Date: 04/2024
Type: Document
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Classifies census tracts as pharmacy deserts or non-pharmacy deserts. Compares pharmacy desert and non-pharmacy desert areas by various social determinants of health and pharmacy characteristics including rurality. See the supplemental materials for state-by-state and rural/urban comparisons.
Author(s): Rachel Wittenauer, Parth D. Shah, Jennifer L. Bacci, Andy Stergachis
Citation: Health Affairs Scholar, 2(4)
Date: 04/2024
Type: Document
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CAH Financial Indicators Report: Summary of Indicator Medians by State
Presents state and national median values of 29 financial indicators included in the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). Provides an overview of each measurement and reports median values by state. Indicators represent seven areas of financial performance: profitability, liquidity, capital structure, revenue, cost, utilization, and other.
Date: 04/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Presents state and national median values of 29 financial indicators included in the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). Provides an overview of each measurement and reports median values by state. Indicators represent seven areas of financial performance: profitability, liquidity, capital structure, revenue, cost, utilization, and other.
Date: 04/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Ready or Not 2024: Protecting the Public's Health from Diseases, Disasters, and Bioterrorism
Report explores the readiness of state public health systems to respond to emergencies, such as diseases, disasters, and bioterrorism. Focuses on measures such as hospital safety scores, vaccination rates, and water system maintenance, among others. Includes rural considerations throughout.
Author(s): Matt McKillop, Rhea K. Farberman, Dara Alpert Lieberman
Date: 03/2024
Type: Document
Sponsoring organization: Trust for America's Health
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Report explores the readiness of state public health systems to respond to emergencies, such as diseases, disasters, and bioterrorism. Focuses on measures such as hospital safety scores, vaccination rates, and water system maintenance, among others. Includes rural considerations throughout.
Author(s): Matt McKillop, Rhea K. Farberman, Dara Alpert Lieberman
Date: 03/2024
Type: Document
Sponsoring organization: Trust for America's Health
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Rural-Urban Differences in Housing Cost Burden Across the U.S.
Examines rural-urban differences in housing affordability across Census regions, divisions, states, and counties, using data from the 2017-2021 American Community Survey. Features statistics including the highest proportion of households experiencing housing cost burden by state and rural-urban location, and a county-level map showing percentages of cost-burden households.
Author(s): Alexis Swendener, Jonathan Schroeder, Carrie Henning-Smith
Date: 03/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines rural-urban differences in housing affordability across Census regions, divisions, states, and counties, using data from the 2017-2021 American Community Survey. Features statistics including the highest proportion of households experiencing housing cost burden by state and rural-urban location, and a county-level map showing percentages of cost-burden households.
Author(s): Alexis Swendener, Jonathan Schroeder, Carrie Henning-Smith
Date: 03/2024
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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The Nature of the Rural-Urban Mortality Gap
Examines rural-urban mortality disparities in the working-age U.S. population. Analyzes the natural-cause mortality (NCM) rate with 1999-2019 data from the Centers for Disease Control's wide-ranging online data for epidemiology research (WONDER) database according to sex, race and ethnicity, health condition, region, and state.
Author(s): Kelsey L. Thomas, Elizabeth A. Dobis, David A. McGranahan
Date: 03/2024
Type: Document
Sponsoring organization: USDA Economic Research Service
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Examines rural-urban mortality disparities in the working-age U.S. population. Analyzes the natural-cause mortality (NCM) rate with 1999-2019 data from the Centers for Disease Control's wide-ranging online data for epidemiology research (WONDER) database according to sex, race and ethnicity, health condition, region, and state.
Author(s): Kelsey L. Thomas, Elizabeth A. Dobis, David A. McGranahan
Date: 03/2024
Type: Document
Sponsoring organization: USDA Economic Research Service
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What Does Pharmacy Access Look like in Your Area?
Interactive map showing the number of pharmacies and pharmacies per 1,000 people at the state and county level. Includes the option to view race and ethnicity data at the county level for Black, Hispanic, and White residents.
Date: 02/2024
Type: Map/Mapping System
Sponsoring organization: The Associated Press
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Interactive map showing the number of pharmacies and pharmacies per 1,000 people at the state and county level. Includes the option to view race and ethnicity data at the county level for Black, Hispanic, and White residents.
Date: 02/2024
Type: Map/Mapping System
Sponsoring organization: The Associated Press
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Examining Increases in HUD Income Limits in Low-Income States
Examines households that are eligible for U.S. Department of Housing and Urban Development (HUD) assistance across geographic areas. Provides information on how HUD calculates low-income households in nonmetro and metro areas and provides maps and figures depicting low-income families at the state and county level. Includes tables showing a state's nonmetro income median in relation to eligibility for Low-Income Housing Tax Credits (LIHTC).
Date: 02/2024
Type: Document
Sponsoring organization: U.S. Department of Housing and Urban Development
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Examines households that are eligible for U.S. Department of Housing and Urban Development (HUD) assistance across geographic areas. Provides information on how HUD calculates low-income households in nonmetro and metro areas and provides maps and figures depicting low-income families at the state and county level. Includes tables showing a state's nonmetro income median in relation to eligibility for Low-Income Housing Tax Credits (LIHTC).
Date: 02/2024
Type: Document
Sponsoring organization: U.S. Department of Housing and Urban Development
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2024 Stability of the Rural Health Safety Net: State and National Data Tables
Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2024 National Rural Health Association Policy Institute.
Date: 02/2024
Type: Website
Sponsoring organization: Chartis Center for Rural Health
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Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2024 National Rural Health Association Policy Institute.
Date: 02/2024
Type: Website
Sponsoring organization: Chartis Center for Rural Health
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Chartis Center for Rural Health Research & Resources for the 2024 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes Unrelenting Pressure Pushes Rural Safety Net Crisis into Uncharted Territory, Rural America's OB Deserts Widen in Fallout From Pandemic, and presentation slides on this report from the 2024 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: 02/2024
Type: Website
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 Unrelenting Pressure Pushes Rural Safety Net Crisis into Uncharted Territory, Rural America's OB Deserts Widen in Fallout From Pandemic, and presentation slides on this report from the 2024 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: 02/2024
Type: Website
Sponsoring organization: Chartis Center for Rural Health
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