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Rural Health
Resources by Topic: Healthcare business and finance

Rural-Urban Differences in Hospital Payer Mix in 2017
Fact sheet reporting payer mix, which refers to the percentage of inpatient days paid by Medicare and Medicaid, by hospital location and Critical Access Hospital (CAH) status. Highlights key observations on data drawn from the 2017 American Hospital Association annual survey.
Date: 2020
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Critical Access Hospital Governing Board Manual: Volume III
Written with governing board members in mind, addresses several pressing issues facing Critical Access Hospital (CAH) governing boards. Builds on the material found in the Governing Board Manual: Volume I and Critical Access Hospital Governing Board Manual: Volume II, and focuses on the following topic areas: the board member's role, quality and fiduciary responsibilities, strategic and community initiatives, and the future of rural healthcare.
Date: 2020
Type: Document
Sponsoring organization: Illinois Critical Access Hospital Network
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Post-Acute Care Virtual Summit
Summarizes a May 2020 virtual summit of key stakeholders that examines the state of post-acute care (PAC) in rural America. Discusses issues, challenges, and strategies related to the integration of rural acute and post-acute care. Explores how state Flex Programs can help rural providers address PAC. Includes a collection of PAC best practices.
Date: 2020
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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Funding and Service Delivery in Rural and Urban Local US Health Departments in 2010 and 2016
Uses nationally representative data from 2010 and 2016 to explore rural/urban differences in local health department (LHD) funding and service delivery. Includes data and statistics on LHD characteristics, sources of revenue, and types of services provided by LHDs, with information broken down by rurality.
Author(s): Kate Beatty, Megan Heffernan, Nathan Hale, Michael Meit
Citation: American Journal of Public Health, 110(9), 1293-1299
Date: 2020
Type: Document
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The Future of Rural Value‐Based Health Care and Surge Capacity
Describes the conflict between value-based care and surge capacity investments at rural hospitals, as well as the role of primary care providers can play during disasters. Presents questions for consideration about the future of rural value‐based care, payment, and healthcare networks and community partnerships in light of the COVID-19 pandemic.
Author(s): A. Clinton MacKinney
Date: 2020
Type: Document
Sponsoring organization: Rural Health Value
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The Rural Health Care Coordination Network Partnership Program: Critical Access Hospital Network of Eastern Washington
Describes and examines the impact of a care coordination program developed by the Critical Access Hospital Network (CAHN) of Eastern Washington. Provides care coordination services to Medicaid patients with at least two chronic conditions or one chronic condition and the risk of developing another. Funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018, with additional funding from the Empire Health Foundation.
Date: 2020
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, University of Minnesota Rural Health Research Center
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Telehealth: An Opportunity for State and Territorial Health Agencies to Improve Access to Needed Health Services
Reports results from a 2019 telehealth capacity survey of state and territorial health agencies. Identifies strategies these agencies can take to advance state use of telehealth related to infrastructure, collaboration, and policy.
Author(s): Alexandra Kearly, Janet Oputa, Paris Harper-Hardy
Citation: Journal of Public Health Management and Practice, 26(1), 86-90
Date: 2020
Type: Document
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Mortality-to-Incidence Ratios by U.S. Congressional District: Implications for Epidemiologic, Dissemination and Implementation Research, and Public Health Policy
Analyzes congressional district-specific mortality-to-incidence ratios (MIR) between 2011 and 2015 for all cancers and for cancers of breast, cervix, colorectal, esophagus, lung, oral, pancreas, and prostate cancers. Compares MIRs across regions, state Medicaid expansion status, race, and rurality. Discusses implications for policymakers and researchers.
Author(s): Jan M. Eberth, Whitney E. Zahnd, Swann Arp Adams, et al.
Citation: Preventative Medicine, 129(S), 105849
Date: 12/2019
Type: Document
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The Rural Hospital Stabilization Program: A Comprehensive Report
Provides an overview of the first three years of the Rural Hospital Stabilization Grant Program for rural Georgia hospitals. Describes grant-funded projects and evaluates the sustainability of these projects after funding ceased. Includes a financial analysis of participating hospitals before and after receiving grant funds.
Date: 12/2019
Type: Document
Sponsoring organizations: Georgia Department of Community Health, Georgia State Office of Rural Health
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Access, Quality, and Financial Performance of Rural Hospitals Following Health System Affiliation
Examines the impact of health system affiliation on rural hospitals' quality and financial performance, as well as patients' access to care. Compares rural hospitals affiliated with a health system between 2008-2017 with those that did not affiliate with a health system.
Author(s): Claire E. O'Hanlon, Ashley M. Kranz, Maria DeYoreo, Ammarah Mahmud, Cheryl L. Damberg, Justin W. Timbie
Citation: Health Affairs, 38(12), 2095-2104
Date: 12/2019
Type: Document
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