Rural Health
Resources by Topic: Healthcare business and finance
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
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
Sponsoring organization: Flex Monitoring Team
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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
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
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
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
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
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
Sponsoring organization: Flex Monitoring Team
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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
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
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Rural Hospital Shifts Operations in Anticipation of COVID-19 Surge
Explores the strategic and operational changes made at King's Daughters Medical Center, a rural hospital in Mississippi, in anticipation of a surge of COVID-19 patients. Discusses supply conservation strategies, financial strain, and staffing changes.
Date: 04/2020
Sponsoring organization: American Hospital Association
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Explores the strategic and operational changes made at King's Daughters Medical Center, a rural hospital in Mississippi, in anticipation of a surge of COVID-19 patients. Discusses supply conservation strategies, financial strain, and staffing changes.
Date: 04/2020
Sponsoring organization: American Hospital Association
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Medicaid and CHIP in Guam
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in Guam. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Guam spending.
Date: 04/2020
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 Guam. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and Guam spending.
Date: 04/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medicaid and CHIP in American Samoa
Summarizes key requirements and design features of Medicaid and the State Children's Health Insurance Program (CHIP) in American Samoa. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and American Samoa spending.
Date: 04/2020
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 American Samoa. Features statistics on program costs from fiscal years 2011-2019, with breakdowns by federal spending and American Samoa spending.
Date: 04/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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MedPAC Comment on CMS's Proposed Rule on Contract Year 2021 and 2022 Policy and Technical Changes to Medicare Advantage and Part D
Responds to a proposed rule to revise regulations for Medicare Advantage (MA) and the Medicare Prescription Drug Benefit program (Part D). Provides comments on CMS proposals regarding out-of-network telehealth benefits, updates to the quality rating models for MA and Part D plans, and changes to MA network adequacy standards. Discusses how changes to network adequacy standards would impact access to dialysis facilities for beneficiaries in micropolitan counties, rural counties, and counties with extreme access considerations (CEAC).
Date: 04/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Responds to a proposed rule to revise regulations for Medicare Advantage (MA) and the Medicare Prescription Drug Benefit program (Part D). Provides comments on CMS proposals regarding out-of-network telehealth benefits, updates to the quality rating models for MA and Part D plans, and changes to MA network adequacy standards. Discusses how changes to network adequacy standards would impact access to dialysis facilities for beneficiaries in micropolitan counties, rural counties, and counties with extreme access considerations (CEAC).
Date: 04/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Health Care and Medicaid Telehealth Flexibilities, and Guidance Regarding Section 1009 of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (Pub. L. 115-271), entitled Medicaid Substance Use Disorder Treatment via Telehealth
Discusses the benefits of utilizing telehealth services to expand access to Medicaid services in rural areas and the flexibility states have in covering these services. Provides guidance on options states have to receive federal reimbursement for substance use disorder treatments provided via telehealth services.
Date: 04/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Discusses the benefits of utilizing telehealth services to expand access to Medicaid services in rural areas and the flexibility states have in covering these services. Provides guidance on options states have to receive federal reimbursement for substance use disorder treatments provided via telehealth services.
Date: 04/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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