Rural Health
Resources by Topic: Closures of healthcare facilities and services
Change in Profitability and Financial Distress of Critical Access Hospitals from Loss of Cost-Based Reimbursement
Examines how proposed changes to Critical Access Hospital (CAH) cost-based reimbursement would affect the financial vulnerability of CAHs. Uses models to forecast the financial impact of 20 and 30 percent reductions in Medicare revenue, and the resulting implications for rural healthcare access.
Author(s): Mark Holmes, George H. Pink
Date: 12/2013
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Examines how proposed changes to Critical Access Hospital (CAH) cost-based reimbursement would affect the financial vulnerability of CAHs. Uses models to forecast the financial impact of 20 and 30 percent reductions in Medicare revenue, and the resulting implications for rural healthcare access.
Author(s): Mark Holmes, George H. Pink
Date: 12/2013
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Implications for Beneficiary Travel Time if Financially-Vulnerable Critical Access Hospitals Close
Examines potential increases in beneficiary travel times and distances if financially-vulnerable Critical Access Hospitals (CAHs) close. Analysis is based on a review of 93 CAHs identified as financially-vulnerable and likely to close if reimbursement methods or eligibility requirements change.
Author(s): Victoria A. Freeman, Randy K. Randolph, George Pink, Mark Holmes
Date: 12/2013
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Examines potential increases in beneficiary travel times and distances if financially-vulnerable Critical Access Hospitals (CAHs) close. Analysis is based on a review of 93 CAHs identified as financially-vulnerable and likely to close if reimbursement methods or eligibility requirements change.
Author(s): Victoria A. Freeman, Randy K. Randolph, George Pink, Mark Holmes
Date: 12/2013
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Demographic and Economic Characteristics Associated with Sole County Pharmacy Closures, 2006-2010
Describes demographic and economic characteristics associated with counties experiencing closure of their sole pharmacy which results in patients having reduced access to key health services like drug dispensing, immunizations, patient assessments, and medication therapy management services.
Author(s): Paula Weigel, Fred Ullrich, Keith Mueller
Date: 11/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Describes demographic and economic characteristics associated with counties experiencing closure of their sole pharmacy which results in patients having reduced access to key health services like drug dispensing, immunizations, patient assessments, and medication therapy management services.
Author(s): Paula Weigel, Fred Ullrich, Keith Mueller
Date: 11/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Causes and Consequences of Rural Pharmacy Closures: A Multi-Case Study
Identifies factors that contributed to the closing of 6 rural pharmacies in different states. Describes how the affected communities adapted to losing locally based services.
Author(s): Kelli Todd, Katie Westfall, Bill Doucette, Fred Ullrich, Keith Mueller
Date: 08/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Identifies factors that contributed to the closing of 6 rural pharmacies in different states. Describes how the affected communities adapted to losing locally based services.
Author(s): Kelli Todd, Katie Westfall, Bill Doucette, Fred Ullrich, Keith Mueller
Date: 08/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rural Pharmacy Closures: Implications for Rural Communities
Documents the closure of local retail pharmacies in which the pharmacist was the community's only clinical provider at the time the pharmacy closed. Describes the characteristics of each community and retail pharmacy in question.
Author(s): Kelli Todd, Fred Ullrich, Keith Mueller
Date: 01/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Documents the closure of local retail pharmacies in which the pharmacist was the community's only clinical provider at the time the pharmacy closed. Describes the characteristics of each community and retail pharmacy in question.
Author(s): Kelli Todd, Fred Ullrich, Keith Mueller
Date: 01/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Independently Owned Pharmacy Closures in Rural America (2012)
Examines the closure of independently owned rural pharmacies in America from 2003-2011 and its effects on rural Americans' access to medications and other pharmacy services. Discusses rural pharmacy rates of closure before and after implementation of the Medicare prescription drug discount card program in January 2004 and the Medicare Part D prescription drug benefit program in January 2006.
Author(s): Kaitlin Boyle, Fred Ullrich, Keith Mueller
Date: 07/2012
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Examines the closure of independently owned rural pharmacies in America from 2003-2011 and its effects on rural Americans' access to medications and other pharmacy services. Discusses rural pharmacy rates of closure before and after implementation of the Medicare prescription drug discount card program in January 2004 and the Medicare Part D prescription drug benefit program in January 2006.
Author(s): Kaitlin Boyle, Fred Ullrich, Keith Mueller
Date: 07/2012
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Independently Owned Pharmacy Closures in Rural America, 2003-2010
Provides information about the closure of rural independently owned pharmacies from 2003 through 2010, including pharmacies that are the sole source of access to local pharmacy services.
Author(s): Kaitlin Boyle, Fred Ullrich, Keith Mueller
Date: 06/2011
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Provides information about the closure of rural independently owned pharmacies from 2003 through 2010, including pharmacies that are the sole source of access to local pharmacy services.
Author(s): Kaitlin Boyle, Fred Ullrich, Keith Mueller
Date: 06/2011
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Independently Owned Pharmacy Closures in Rural America (2008)
Provides information about the closure of rural independently owned pharmacies, including pharmacies that were the sole source of access to local pharmacy services, from 2003 to 2008.
Additional links: State Table
Author(s): Donald Klepser, Liyan Xu, Fred Ullrich, Keith Mueller
Date: 07/2008
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Provides information about the closure of rural independently owned pharmacies, including pharmacies that were the sole source of access to local pharmacy services, from 2003 to 2008.
Additional links: State Table
Author(s): Donald Klepser, Liyan Xu, Fred Ullrich, Keith Mueller
Date: 07/2008
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Closures of Hospital-Based SNF Units: Insights from Interviews with Administrators, Discharge Planners and Referring Physicians
Reports on interviews with officials at fifteen acute care hospitals with Medicare skilled nursing facilities (SNFs) in 1998, some of which were still open and some of which had closed. Addresses the reasons, and consequences, of hospitals' decisions to close SNF units. The study included hospitals in urban and rural areas.
Author(s): Korbin Liu, Emily Jones, Urban Institute
Date: 03/2007
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Reports on interviews with officials at fifteen acute care hospitals with Medicare skilled nursing facilities (SNFs) in 1998, some of which were still open and some of which had closed. Addresses the reasons, and consequences, of hospitals' decisions to close SNF units. The study included hospitals in urban and rural areas.
Author(s): Korbin Liu, Emily Jones, Urban Institute
Date: 03/2007
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Trends in Rural Hospital Closure: 1990 - 2000
Focuses on the extent, characteristics, reasons for and impact of rural hospitals closures from 1990 through 2000. Includes rural hospital closure data by state.
Date: 05/2003
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Focuses on the extent, characteristics, reasons for and impact of rural hospitals closures from 1990 through 2000. Includes rural hospital closure data by state.
Date: 05/2003
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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