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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

The Clinical and Business Cases for Opening a Maternity Care Unit in a CAH
A case study of a rural North Carolina partnership that worked together to add a new wing for a maternity unit at a 25-bed Critical Access Hospital. Explains how the service was planned to be financially viable. Describes maternal and infant health disparities in the region and discusses how this new service will meet the needs of patients.
Date: 01/2022
Sponsoring organization: American Hospital Association
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Beneficiary Preferences for Communications Regarding Eligibility, Enrollment, and Renewal
Discusses federal requirements for states to provide multiple modes of communication for Medicaid eligibility and enrollment, as well as current state practices to facilitate this communication. Summarizes results of focus groups on Medicaid beneficiaries' preferences and experiences communicating with state Medicaid agencies and use of technology.
Date: 01/2022
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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CARES Act Telehealth Expansion: Trends in Post-Discharge Follow-Up and Association with 30-Day Readmissions for Hospital Readmissions Reduction Program Health Conditions
Provides an overview of the Hospital Readmissions Reduction Program (HRRP) and examines the impact of expanded Medicare payment for telehealth services on post-discharge follow-up and hospital readmissions for HRRP conditions. Describes trends in post-discharge follow-up before and after the telehealth expansion and compares trends by health condition, sociodemographic characteristics, rurality, and follow-up method.
Date: 01/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Distressed Minnesota Community Hospitals, 2019
Explores the characteristics of financially distressed hospitals in Minnesota. Presents data by hospital type, including Critical Access Hospital (CAH) designation and rural status.
Date: 01/2022
Sponsoring organization: Minnesota Department of Health
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Prescription Drug Affordability among Medicare Beneficiaries
Examines the affordability of prescription drugs among Medicare beneficiaries. Explores whether Medicare beneficiaries skipped doses, took less medication, delayed filling a prescription, or did not fill needed prescriptions due to cost concerns. Explores affordability concerns by race and ethnicity, sex, family income, urban versus rural counties, and presence of select chronic conditions.
Author(s): Wafa Tarazi, Kenneth Finegold, Steven Sheingold, Nancy De Lew, Benjamin D. Sommers
Date: 01/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural Hospitals that Closed between 2017‐20: Profitability and Liquidity in the Year Before Closure
Examines the pre-closure profitability and liquidity performance of 56 rural hospitals that closed between January 2017 and August 2020. Compares this data to the median performance of rural hospitals that remained open each year.
Author(s): Andrew S. Osgood, George H. Pink
Date: 01/2022
Sponsoring organization: North Carolina Rural Health Research Program
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High-Performing Rural Health System
Update to the September 2011 RUPRI Health Panel document "The High Performance Rural Health Care System of the Future." Describes affordable and accessible healthcare for all rural residents through a sustainable system delivering high quality, high value services. Defines pillars of accessibility, affordability, community health, and quality.
Author(s): Andrew Coburn, Alva O. Ferdinand, Alana Knudson, et al.
Date: 01/2022
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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California Patient Characteristics by County and Facility
Interactive charts showing patient characteristics in general acute care hospital settings in California in 2022. Offers statewide data as well as comparisons at the county and facility level.
Date: 2022
Sponsoring organization: California Department of Health Care Access and Information
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Emerging Stronger After COVID-19: Priorities for Health System Transformation
Collection of papers examining the weaknesses of major healthcare sectors before the COVID-19 pandemic, how each sector responded to the pandemic, and the opportunities that exist for strengthening and transforming the healthcare system. Includes rural references throughout.
Additional links: Read Online
Date: 2022
Sponsoring organization: National Academy of Medicine
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The Use of Telehealth for Disability Evaluation in Medicine and Allied Health: Proceedings of a Workshop
Summarizes presentations and discussions held during a March 2022 workshop regarding the use of telehealth for patient evaluation. Provides an overview of telehealth policy broadly and within the context of the COVID-19 pandemic. Explores the use of telehealth in a range of clinical specialties; telehealth access and digital inclusion and equity; the experiences of U.S. healthcare systems in deploying telehealth; and licensure, privacy, and security issues.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2022
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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