Rural Health
Resources by Topic: Healthcare business and finance
Three Key Trends for Minnesota Community Hospitals in 2020
Discusses trends for Minnesota Community hospitals in 2020 such as hospital usage, public investments, and staffing. Includes a rural versus urban and Critical Access Hospital (CAH) versus non-CAH comparison of median operating margins of hospitals from 2018 to 2020.
Date: 03/2022
Sponsoring organization: Minnesota Department of Health
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Discusses trends for Minnesota Community hospitals in 2020 such as hospital usage, public investments, and staffing. Includes a rural versus urban and Critical Access Hospital (CAH) versus non-CAH comparison of median operating margins of hospitals from 2018 to 2020.
Date: 03/2022
Sponsoring organization: Minnesota Department of Health
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Rural Hospital Profitability during the Global COVID-19 Pandemic Requires Careful Interpretation
Findings brief describing the trend of rural hospital profitability in 2011-19 and explaining why possible increases in reported profitability during the pandemic (2020-21) may mask the long-term financial challenges of rural hospitals. Features statistics including median total margin of all rural hospitals and percentage of rural hospitals with a total negative margin by year from 2011-2021, and estimated distribution of provider relief funding to hospitals as of February 2021, with breakdowns by urban or rural location.
Author(s): George Pink, Susie Gurzenda, Mark Holmes
Date: 03/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief describing the trend of rural hospital profitability in 2011-19 and explaining why possible increases in reported profitability during the pandemic (2020-21) may mask the long-term financial challenges of rural hospitals. Features statistics including median total margin of all rural hospitals and percentage of rural hospitals with a total negative margin by year from 2011-2021, and estimated distribution of provider relief funding to hospitals as of February 2021, with breakdowns by urban or rural location.
Author(s): George Pink, Susie Gurzenda, Mark Holmes
Date: 03/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Hospital Administrators' Beliefs About Safety, Financial Viability, and Community Need for Offering Obstetric Care
Examines beliefs about the financial viability and need for rural obstetric care based on surveys completed by 93 rural hospital administrators. Discusses the volume necessary to provide safe obstetric care, priorities related to local community need, and issues related to workforce and policy.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Lindsay K. Admon, Bridget L. Basile Ibrahim
Citation: JAMA Health Forum, 3(3), e220204
Date: 03/2022
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Examines beliefs about the financial viability and need for rural obstetric care based on surveys completed by 93 rural hospital administrators. Discusses the volume necessary to provide safe obstetric care, priorities related to local community need, and issues related to workforce and policy.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Lindsay K. Admon, Bridget L. Basile Ibrahim
Citation: JAMA Health Forum, 3(3), e220204
Date: 03/2022
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Rural Quality of Life: Opportunities and Challenges for the Rural Care Economy
Recording of a March 22, 2022, hearing of the U.S. Senate Committee on Agriculture, Nutrition, and Forestry on challenges and opportunities for the care economy in rural communities. Features testimony from the U.S. Department of Agriculture Undersecretary for Rural Development, the University of Minnesota Rural Health Research Center, and Southeast Health Group, a Certified Community Behavioral Health Clinic (CCBHC) in rural La Junta, Colorado.
Additional links: Carrie Henning-Smith, University of Minnesota Rural Health Research Center - Testimony, Joseph Carrica, Southeast Health Group - Testimony
Date: 03/2022
Sponsoring organization: Senate Committee on Agriculture, Nutrition, and Forestry
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Recording of a March 22, 2022, hearing of the U.S. Senate Committee on Agriculture, Nutrition, and Forestry on challenges and opportunities for the care economy in rural communities. Features testimony from the U.S. Department of Agriculture Undersecretary for Rural Development, the University of Minnesota Rural Health Research Center, and Southeast Health Group, a Certified Community Behavioral Health Clinic (CCBHC) in rural La Junta, Colorado.
Additional links: Carrie Henning-Smith, University of Minnesota Rural Health Research Center - Testimony, Joseph Carrica, Southeast Health Group - Testimony
Date: 03/2022
Sponsoring organization: Senate Committee on Agriculture, Nutrition, and Forestry
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Emergency Department Visit Rates by Selected Characteristics: United States, 2019
Describes emergency department visit rates in 2019 using data from the National Hospital Ambulatory Medical Care Survey (NHAMCS). Presents data by selected patient characteristics including metropolitan statistical area status, age, sex, race and ethnicity, and health insurance status.
Date: 03/2022
Sponsoring organization: National Center for Health Statistics
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Describes emergency department visit rates in 2019 using data from the National Hospital Ambulatory Medical Care Survey (NHAMCS). Presents data by selected patient characteristics including metropolitan statistical area status, age, sex, race and ethnicity, and health insurance status.
Date: 03/2022
Sponsoring organization: National Center for Health Statistics
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Minnesota Community Hospital Trends, 2017 – 2020: A Data Short Take
Presents information on Minnesota hospital utilization, financials, and staffing and capacity from 2017 to 2020. Includes data broken down by facility bed size, Critical Access Hospital (CAH) or non-CAH, rural versus urban, and health system affiliation, among others.
Date: 03/2022
Sponsoring organization: Minnesota Department of Health
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Presents information on Minnesota hospital utilization, financials, and staffing and capacity from 2017 to 2020. Includes data broken down by facility bed size, Critical Access Hospital (CAH) or non-CAH, rural versus urban, and health system affiliation, among others.
Date: 03/2022
Sponsoring organization: Minnesota Department of Health
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Vermont's All-Payer Accountable Care Organization Model: Mt. Ascutney Hospital and Health Center's Experience
Profiles Mt. Ascutney Hospital and Health Center (MAHHC), a Critical Access Hospital and health center partnership in central Vermont. Describes how MAHHC provides care differently as a participant in the OneCare Vermont accountable care organization (ACO). Discusses how MAHHC adapted healthcare delivery during the COVID-19 pandemic. Highlights challenges and financial implications of MAHHC's participation in OneCare Vermont.
Date: 03/2022
Sponsoring organization: Rural Health Value
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Profiles Mt. Ascutney Hospital and Health Center (MAHHC), a Critical Access Hospital and health center partnership in central Vermont. Describes how MAHHC provides care differently as a participant in the OneCare Vermont accountable care organization (ACO). Discusses how MAHHC adapted healthcare delivery during the COVID-19 pandemic. Highlights challenges and financial implications of MAHHC's participation in OneCare Vermont.
Date: 03/2022
Sponsoring organization: Rural Health Value
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MedPAC Report to the Congress: Medicare Payment Policy, 2022
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation.
Date: 03/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation.
Date: 03/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Telehealth Has Played an Outsized Role Meeting Mental Health Needs During the COVID-19 Pandemic
Explores usage of telehealth for physical and mental health outpatient visits between March 2019 and August 2021. Figure 3 shows use of mental health and substance use telehealth visits versus other outpatient telehealth visits, with rural versus urban comparisons. Includes a discussion about payment models for telehealth via private insurance, Medicare, and Medicaid.
Author(s): Justin Lo, Matthew Rae, Krutika Amin, et al.
Date: 03/2022
Sponsoring organization: KFF
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Explores usage of telehealth for physical and mental health outpatient visits between March 2019 and August 2021. Figure 3 shows use of mental health and substance use telehealth visits versus other outpatient telehealth visits, with rural versus urban comparisons. Includes a discussion about payment models for telehealth via private insurance, Medicare, and Medicaid.
Author(s): Justin Lo, Matthew Rae, Krutika Amin, et al.
Date: 03/2022
Sponsoring organization: KFF
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Telehealth for FQHCs/RHCs: School-Based Telehealth
Offers a 3-part video series on school-based telehealth for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Topics covered in part 1 include school-based telehealth resources and opportunities; part 2 offers information on school-based health clinic benefits, program development, payment, and technology considerations; and part 3 covers school based primary care, integrated behavioral health, virtual learning, and evolution of telehealth services. If viewed through YouTube, transcripts are available below description.
Additional links: Telehealth for FQHCs/RHCs: School-Based Telehealth Part 2, Telehealth for FQHCs/RHCs: School-Based Telehealth Part 3
Date: 03/2022
Sponsoring organization: National Consortium of Telehealth Resource Centers
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Offers a 3-part video series on school-based telehealth for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Topics covered in part 1 include school-based telehealth resources and opportunities; part 2 offers information on school-based health clinic benefits, program development, payment, and technology considerations; and part 3 covers school based primary care, integrated behavioral health, virtual learning, and evolution of telehealth services. If viewed through YouTube, transcripts are available below description.
Additional links: Telehealth for FQHCs/RHCs: School-Based Telehealth Part 2, Telehealth for FQHCs/RHCs: School-Based Telehealth Part 3
Date: 03/2022
Sponsoring organization: National Consortium of Telehealth Resource Centers
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