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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

The Rural Emergency Hospital and Value-Based Care
Summarizes the new Rural Emergency Hospital (REH) legislation, outlines local considerations before REH conversion, and prepares stakeholders to comment when the Centers for Medicare & Medicaid Services releases REH proposed rules for public input. Addresses questions regarding anticipated proposed rules and describes opportunities to inform REH rulemaking.
Date: 08/2021
Sponsoring organization: Rural Health Value
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A Cross-Sectional Analysis of High Acuity Professional Services Performed by Urban and Rural Emergency Care Physicians Across the United States
Evaluates high acuity service practices between 34,256 metropolitan and nonmetropolitan physicians offering emergency care to Medicare fee-for-service beneficiaries. Discusses rural-specific factors that may contribute to disparities.
Author(s): Cameron J. Gettel, Maureen E. Canavan, Margaret B. Greenwood-Ericksen, et al.
Citation: Annals of Emergency Medicine: An International Journal 78(1), 140-149
Date: 07/2021
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Treating Perinatal Mood and Anxiety Disorders in Rural Montana
Profiles how St. Peter's Health - a health system in Helena, Montana - developed and implemented a parental support system to address gaps in postpartum mental health care. Discusses partnerships St. Peter's Health utilized to connect parents with community-based services and supports. Offers lessons learned and future goals for the program.
Date: 07/2021
Sponsoring organization: American Hospital Association
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Diabetes-Related Inpatient Stays, 2018
Brief examining nonmaternal inpatient stays related to type 1 and type 2 diabetes based on 2018 National Inpatient Sample (NIS) data. Presents distribution of inpatient stays by age, sex, insurance status, income, race and ethnicity, and metro and rural location.
Author(s): Kathryn R. Fingar, Lawrence D. Reid
Date: 07/2021
Sponsoring organizations: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project
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Assessment of the Financial Health of Rural Hospitals After Implementation of the Georgia Rural Hospital Tax Credit Program
Explores association of the Georgia Rural Hospital Tax Credit Program with the financial health of participating rural hospitals, using financial data from the Centers for Medicare & Medicaid Services from 2015-2019 for 136 hospitals. Examines data from participating Georgia hospitals with data from comparison hospitals in Alabama, Florida, Mississippi, North Carolina, South Carolina, and Tennessee. Features statistics on sample characteristics and finances.
Author(s): Bettye A. Apenteng, Samuel T. Opoku, Charles Owens, et al.
Citation: JAMA Network Open, 4(7)
Date: 07/2021
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Medicaid and Housing Partnerships: A Resource for Local Health Departments
Explores how local health departments (LHDs) in rural areas can utilize Medicaid managed care levers to address homelessness and housing security issues. Summarizes results from a gap analysis and readiness assessment which identified key opportunities to help prepare 3 LHDs in rural North Carolina counties for the transition to Medicaid-managed care. Identifies action steps for these counties to strengthen housing supports that can also inform similar initiatives in other states.
Author(s): Matthew Ralls, Kathy Moses, Rob Houston
Date: 07/2021
Sponsoring organization: Center for Health Care Strategies
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COVID-19 in a Rural Health System in New York – Case Series and an Approach to Management
Highlights the hub-and-spoke system implemented by a hospital in New York's largest rural county to address the COVID-19 pandemic. Draws data on COVID-19 patients from March to May of 2020, evaluates the system's efficacy, and explores the challenges of rural pandemic response.
Author(s): Eyal Kedar, Regina Scott, Daniel M. Soule, et al.
Citation: Rural and Remote Health, 21(3), 6464
Date: 07/2021
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Rural Hospital Closings in Southern States
Interactive map depicting 59 rural hospital closures from January 2012 - July 2021 in Arkansas, Tennessee, Mississippi, Louisiana, Missouri, Oklahoma, and Texas. Uses data from the North Carolina Health Research Program.
Date: 07/2021
Sponsoring organization: Arkansas Center for Health Improvement
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State Medicaid Telehealth Policies Before and During the COVID-19 Public Health Emergency
Examines state Medicaid telehealth coverage, policies, and utilization before and after the COVID-19 public health emergency. Discusses issues and opportunities for optimizing telehealth, including equity considerations for rural and lower-income communities.
Author(s): Rose C. Chu, Christie Peters, Nancy De Lew, Benjamin D. Sommers
Date: 07/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Access to Affordable Care in Rural America: Current Trends and Key Challenges
Describes geographic and demographic challenges that contribute to healthcare access and health disparities in rural areas. Covers patterns of insurance coverage between rural and urban areas, healthcare provider shortages, and rural hospital vulnerability and closures. Discusses programs and services supported by the U.S. Department of Health and Human Services (HHS) to reduce barriers to care in rural communities, including telehealth, healthcare workforce programs, and Rural Health Clinics and Community Health Centers.
Author(s): Gina Turrini, D. Keith Branham, Lucy Chen, et al.
Date: 07/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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