Rural Health
Resources by Topic: Healthcare business and finance
Community Health Centers in a Time of Change: Results from an Annual Survey
Summarizes results from the Kaiser Family Foundation/Geiger Gibson 2019 Community Health Center Survey. Explores trends in patient health coverage, healthcare affordability, and health center revenue; social determinants of health; potential implications of Medicaid work requirements; participation in the Title X program; and other challenges facing health centers. Includes rural references throughout. Presents survey response data by urban and rural status in Appendix A.
Author(s): Jessica Sharac, Anne Markus, Jennifer Tolbert, Sara Rosenbaum
Date: 04/2020
Type: Document
Sponsoring organization: KFF
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Summarizes results from the Kaiser Family Foundation/Geiger Gibson 2019 Community Health Center Survey. Explores trends in patient health coverage, healthcare affordability, and health center revenue; social determinants of health; potential implications of Medicaid work requirements; participation in the Title X program; and other challenges facing health centers. Includes rural references throughout. Presents survey response data by urban and rural status in Appendix A.
Author(s): Jessica Sharac, Anne Markus, Jennifer Tolbert, Sara Rosenbaum
Date: 04/2020
Type: Document
Sponsoring organization: KFF
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Rural Hospital Participation in Medicare Accountable Care Organizations
Report explores the rates of rural hospital participation in Medicare Shared Savings Program (SSP) Accountable Care Organizations (ACOs). Details some of the factors that correspond to participation and compares rates by region and by rural status.
Date: 04/2020
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Report explores the rates of rural hospital participation in Medicare Shared Savings Program (SSP) Accountable Care Organizations (ACOs). Details some of the factors that correspond to participation and compares rates by region and by rural status.
Date: 04/2020
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Impact of CAH Participation in Flex Financial and Operations Improvement Activities on Hospital Financial Indicators
Explores the association between Critical Access Hospitals' (CAH) participation in financial and operational improvement activities between 2015 and 2018 with improved financial indicators. Compares CAH financial indicators and other variables including Rural Health Clinic operation, ownership type, and census region, by the number of years of participation in CAH improvement activities.
Author(s): Kathleen Knocke, Kristin Reiter, George H. Pink
Date: 04/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Explores the association between Critical Access Hospitals' (CAH) participation in financial and operational improvement activities between 2015 and 2018 with improved financial indicators. Compares CAH financial indicators and other variables including Rural Health Clinic operation, ownership type, and census region, by the number of years of participation in CAH improvement activities.
Author(s): Kathleen Knocke, Kristin Reiter, George H. Pink
Date: 04/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Geographic Variation in the 2018 Profitability of Urban and Rural Hospitals
Compares the profitability of Critical Access Hospitals, other rural hospitals, and urban hospitals in 2018 by census region, census division, and state. Examines the reasons for geographic variation in the profitability of urban and rural hospitals.
Additional links: 2016‐18 Profitability of Urban and Rural Hospitals by Medicare Payment Classification, Rural Hospitals with Long‐Term Unprofitability, Understanding the Broader Context of Rural Hospitals and Profitability
Author(s): Andrew W. Maxwell, Ann Howard, George H. Pink
Date: 04/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Compares the profitability of Critical Access Hospitals, other rural hospitals, and urban hospitals in 2018 by census region, census division, and state. Examines the reasons for geographic variation in the profitability of urban and rural hospitals.
Additional links: 2016‐18 Profitability of Urban and Rural Hospitals by Medicare Payment Classification, Rural Hospitals with Long‐Term Unprofitability, Understanding the Broader Context of Rural Hospitals and Profitability
Author(s): Andrew W. Maxwell, Ann Howard, George H. Pink
Date: 04/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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2020 Rural Hospital Sustainability Index
Reports on an analysis of rural hospital financial viability. Identifies the number of hospitals by state at financial risk of closing and the number by state at high financial risk that are considered essential for community trauma access. Full report is available with email registration.
Additional links: State-Based Data
Author(s): David Mosley, Daniel DeBehnke
Date: 04/2020
Type: Document
Sponsoring organization: Guidehouse
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Reports on an analysis of rural hospital financial viability. Identifies the number of hospitals by state at financial risk of closing and the number by state at high financial risk that are considered essential for community trauma access. Full report is available with email registration.
Additional links: State-Based Data
Author(s): David Mosley, Daniel DeBehnke
Date: 04/2020
Type: Document
Sponsoring organization: Guidehouse
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Small Area Health Insurance Estimates: 2018
Reports on health insurance coverage in the U.S. in 2018 and changes between 2017 and 2018, as well as changes between 2013 and 2018. Includes maps showing county-level uninsured rates.
Additional links: Visualizations and Reference Maps
Author(s): Thomas W. Walton, Katherine Ann Willyard
Date: 04/2020
Type: Document
Sponsoring organization: U.S. Census Bureau
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Reports on health insurance coverage in the U.S. in 2018 and changes between 2017 and 2018, as well as changes between 2013 and 2018. Includes maps showing county-level uninsured rates.
Additional links: Visualizations and Reference Maps
Author(s): Thomas W. Walton, Katherine Ann Willyard
Date: 04/2020
Type: Document
Sponsoring organization: U.S. Census Bureau
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CAH Medicaid Payer Mix in Expansion vs. Non-Expansion States
Examines the change in median Medicaid payer mix among Critical Access Hospitals between 2013 and 2018 and compares the change across states that adopted Medicaid expansion and those that did not.
Author(s): Savannah Stallings, George Pink, Kristin Reiter
Date: 04/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examines the change in median Medicaid payer mix among Critical Access Hospitals between 2013 and 2018 and compares the change across states that adopted Medicaid expansion and those that did not.
Author(s): Savannah Stallings, George Pink, Kristin Reiter
Date: 04/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Medicaid and CHIP in the U.S. Virgin Islands
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the U.S. Virgin Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and U.S. Virgin Islands spending.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the U.S. Virgin Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and U.S. Virgin Islands spending.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in the Territories
Summarizes federal requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP), as operating in American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands. Features statistics including number of enrollees and percentage of the population enrolled, and program costs, with breakdowns by federal or territory spending levels and by location, using data from fiscal year 2019.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Summarizes federal requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP), as operating in American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the U.S. Virgin Islands. Features statistics including number of enrollees and percentage of the population enrolled, and program costs, with breakdowns by federal or territory spending levels and by location, using data from fiscal year 2019.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in the Commonwealth of the Northern Mariana Islands
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the Northern Mariana Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Northern Mariana Islands spending.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in the Northern Mariana Islands. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Northern Mariana Islands spending.
Date: 04/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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