Rural Health
Resources by Topic: Critical Access Hospitals
The Economic Impact of Recent Hospital Closures on Rural Communities
Estimates the direct and secondary economic impacts of hospital closures on rural communities, focusing on labor (wages, salaries, benefits) and employment (jobs) income. Uses data collected from 16 hospitals representing 13 states that have closed since 2010, of which 9 were designated as Critical Access Hospitals.
Author(s): Fred C Eilrich, Gerald A. Doeksen, Cheryl F. St. Clair
Date: 07/2015
Type: Document
Sponsoring organization: National Center for Rural Health Works
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Estimates the direct and secondary economic impacts of hospital closures on rural communities, focusing on labor (wages, salaries, benefits) and employment (jobs) income. Uses data collected from 16 hospitals representing 13 states that have closed since 2010, of which 9 were designated as Critical Access Hospitals.
Author(s): Fred C Eilrich, Gerald A. Doeksen, Cheryl F. St. Clair
Date: 07/2015
Type: Document
Sponsoring organization: National Center for Rural Health Works
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Hospital Policy Issues: Statement by Mark Miller, Medicare Payment Advisory Commission before Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives
Testimony from the Medicare Payment Advisory Commission's executive director presented at a July 22nd, 2015, Ways and Means subcommittee hearing concerning Medicare hospital payment issues, rural health issues, and beneficiary access to care. Discusses Medicare's rural hospital payment adjustments, how they impact access to care, and principles to consider in evaluating rural add-on payments. Also discusses MedPAC recommendations related to graduate medical education (GME), including some related to rural training.
Author(s): Mark E. Miller
Date: 07/2015
Type: Document
Sponsoring organizations: House Ways and Means Committee, Subcommittee on Health, Medicare Payment Advisory Commission
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Testimony from the Medicare Payment Advisory Commission's executive director presented at a July 22nd, 2015, Ways and Means subcommittee hearing concerning Medicare hospital payment issues, rural health issues, and beneficiary access to care. Discusses Medicare's rural hospital payment adjustments, how they impact access to care, and principles to consider in evaluating rural add-on payments. Also discusses MedPAC recommendations related to graduate medical education (GME), including some related to rural training.
Author(s): Mark E. Miller
Date: 07/2015
Type: Document
Sponsoring organizations: House Ways and Means Committee, Subcommittee on Health, Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2015
Includes chapters on coordinating Medicare policy across payment models, Part B drug payment policy, value-based incentives for managing Part B drug use, multiple drug use including opioids among Medicare Part D enrollees, hospital short-stays, and new methods of measuring quality of care. Rural hospitals, rural referral centers, and rural patient populations are discussed throughout this report.
Date: 06/2015
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Includes chapters on coordinating Medicare policy across payment models, Part B drug payment policy, value-based incentives for managing Part B drug use, multiple drug use including opioids among Medicare Part D enrollees, hospital short-stays, and new methods of measuring quality of care. Rural hospitals, rural referral centers, and rural patient populations are discussed throughout this report.
Date: 06/2015
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Charity Care and Uncompensated Care Activities of Tax-Exempt Critical Access Hospitals
Analyzes charity care, uncompensated care, and bad debt activities of Critical Access Hospitals (CAHs) compared with other rural non-CAH and urban hospitals. Discusses the implications of ACA-mandated hospital financial assistance, emergency care, and billing and collection policies for CAHs.
Additional links: Policy Brief
Author(s): John Gale, Jamar Croom, Zachariah Croll, Andrew Coburn
Date: 06/2015
Type: Document
Sponsoring organization: Flex Monitoring Team
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Analyzes charity care, uncompensated care, and bad debt activities of Critical Access Hospitals (CAHs) compared with other rural non-CAH and urban hospitals. Discusses the implications of ACA-mandated hospital financial assistance, emergency care, and billing and collection policies for CAHs.
Additional links: Policy Brief
Author(s): John Gale, Jamar Croom, Zachariah Croll, Andrew Coburn
Date: 06/2015
Type: Document
Sponsoring organization: Flex Monitoring Team
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Statement by George Stover, Rice County Hospital District 1, before the Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education and Related Agencies
Covers testimony presented at a May 7, 2015 Labor-Health and Human Services subcommittee hearing on rural health from George Stover, the chief executive officer for the Hospital District #1 of Rice County in Lyons, Kansas. Discusses regulatory and reimbursement challenges facing Critical Access Hospitals (CAHs).
Author(s): George Stover
Date: 05/2015
Type: Document
Sponsoring organization: Senate Committee on Appropriations
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Covers testimony presented at a May 7, 2015 Labor-Health and Human Services subcommittee hearing on rural health from George Stover, the chief executive officer for the Hospital District #1 of Rice County in Lyons, Kansas. Discusses regulatory and reimbursement challenges facing Critical Access Hospitals (CAHs).
Author(s): George Stover
Date: 05/2015
Type: Document
Sponsoring organization: Senate Committee on Appropriations
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Statement by Julie Petersen, PMH Medical Center, before the Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education and Related Agencies
Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Provides an overview of rural healthcare innovations in Washington State. Discusses challenges facing the state's Critical Access Hospitals and other small rural hospitals.
Author(s): Julie Petersen
Date: 05/2015
Type: Document
Sponsoring organization: Senate Committee on Appropriations
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Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Provides an overview of rural healthcare innovations in Washington State. Discusses challenges facing the state's Critical Access Hospitals and other small rural hospitals.
Author(s): Julie Petersen
Date: 05/2015
Type: Document
Sponsoring organization: Senate Committee on Appropriations
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Statement of Sean Cavanaugh, Centers for Medicare & Medicaid Services, on Rural Health before the U.S. Senate Appropriations Committee Subcommittee on Labor, Health and Human Services, Education, and Related Agencies
Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Provides an overview of the Centers for Medicare & Medicaid Services (CMS) activities to improve access to services for rural Medicare beneficiaries. Discusses telehealth, Critical Access Hospitals, Rural Health Clinics, and rural projects being tested through the Health Care Innovation Awards.
Author(s): Sean Cavanaugh, Centers for Medicare & Medicaid Services
Date: 05/2015
Type: Document
Sponsoring organization: Senate Committee on Appropriations
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Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Provides an overview of the Centers for Medicare & Medicaid Services (CMS) activities to improve access to services for rural Medicare beneficiaries. Discusses telehealth, Critical Access Hospitals, Rural Health Clinics, and rural projects being tested through the Health Care Innovation Awards.
Author(s): Sean Cavanaugh, Centers for Medicare & Medicaid Services
Date: 05/2015
Type: Document
Sponsoring organization: Senate Committee on Appropriations
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A Comparison of Closed Rural Hospitals and Perceived Impact
Compares characteristics of rural hospitals that have closed or have converted to provide a mix of health services but no inpatient care. Measures perceived impact of rural hospital closures.
Author(s): Sharita R. Thomas, Brystana G. Kaufman, Randy K. Randolph, et al.
Date: 04/2015
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Compares characteristics of rural hospitals that have closed or have converted to provide a mix of health services but no inpatient care. Measures perceived impact of rural hospital closures.
Author(s): Sharita R. Thomas, Brystana G. Kaufman, Randy K. Randolph, et al.
Date: 04/2015
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Colorado Critical Access Hospitals and Clinics: Improving Communication and Readmission (iCARE) White Paper
Details how the Colorado Rural Health Center's Improving Communication and Readmission (iCARE) program is improving the patient experience at Critical Access Hospitals and Rural Health Clinics in Colorado by enhancing care coordination and lowering readmission rates.
Date: 03/2015
Type: Document
Sponsoring organization: Colorado Rural Health Center
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Details how the Colorado Rural Health Center's Improving Communication and Readmission (iCARE) program is improving the patient experience at Critical Access Hospitals and Rural Health Clinics in Colorado by enhancing care coordination and lowering readmission rates.
Date: 03/2015
Type: Document
Sponsoring organization: Colorado Rural Health Center
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Evaluation of Hospital-Setting HCIA Awards: First Annual Report, Final
Evaluations of 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Covers projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Date: 03/2015
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Evaluations of 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Covers projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Date: 03/2015
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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