Rural Health
Resources by Topic: Healthcare business and finance
The Impact of the Low Volume Hospital (LVH) Program on the Viability of Small, Rural Hospitals
Compares rural low volume hospitals (LVH) with non-LVH (Inpatient Prospective Payment System) hospitals. Discusses the financial impact of removing the LVH program and returning to the 2005 LVH classification and payment adjustment, and the effect this will have on Medicare beneficiaries.
Author(s): Rebecca G. Whitaker, G. Mark Holmes, George H. Pink
Date: 10/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Compares rural low volume hospitals (LVH) with non-LVH (Inpatient Prospective Payment System) hospitals. Discusses the financial impact of removing the LVH program and returning to the 2005 LVH classification and payment adjustment, and the effect this will have on Medicare beneficiaries.
Author(s): Rebecca G. Whitaker, G. Mark Holmes, George H. Pink
Date: 10/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Spread of Accountable Care Organizations in Rural America
Uses data through December 2015 to reveal trends in rural Medicare Accountable Care Organization (ACO) activity, and discusses motivations behind the recent increase in rural ACO participation. Includes maps of ACO presence by county, illustrating changes that occurred between 2013 and 2015.
Author(s): Keith Mueller, Fred Ullrich
Date: 10/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Uses data through December 2015 to reveal trends in rural Medicare Accountable Care Organization (ACO) activity, and discusses motivations behind the recent increase in rural ACO participation. Includes maps of ACO presence by county, illustrating changes that occurred between 2013 and 2015.
Author(s): Keith Mueller, Fred Ullrich
Date: 10/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rural Hospital Participation and Performance in Value-Based Purchasing and Other Delivery System Reform Initiatives
Reports on the participation of delivery system reform initiatives by rural hospitals, and discusses the supporting factors and challenges for successful participation. Includes data comparing rural and urban Hospital Value-Based Payment (HVBP) performance.
Author(s): Karen E. Joynt, Nguyen Nguyen, Lok Wong Samson, et al.
Date: 10/2016
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Reports on the participation of delivery system reform initiatives by rural hospitals, and discusses the supporting factors and challenges for successful participation. Includes data comparing rural and urban Hospital Value-Based Payment (HVBP) performance.
Author(s): Karen E. Joynt, Nguyen Nguyen, Lok Wong Samson, et al.
Date: 10/2016
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Trends in Risk of Financial Distress among Rural Hospitals
Illustrates the proportion of rural hospitals, including Critical Access Hospitals (CAHs), at high risk of financial distress by Census region and Centers for Medicare & Medicaid Services (CMS) payment type for the 2013-2016 period.
Author(s): Brystana G. Kaufman, Randy Randolph, George H. Pink, Mark Holmes
Date: 10/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Illustrates the proportion of rural hospitals, including Critical Access Hospitals (CAHs), at high risk of financial distress by Census region and Centers for Medicare & Medicaid Services (CMS) payment type for the 2013-2016 period.
Author(s): Brystana G. Kaufman, Randy Randolph, George H. Pink, Mark Holmes
Date: 10/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Medicaid Expansion Affects Rural and Urban Hospitals Differently
Examines the impact of Medicaid expansion on urban and rural hospitals. Details specific effects of Medicaid expansion on Medicaid-covered hospital discharges, costs of uncompensated care, and operating margins. Provides policy recommendations regarding uncompensated care and Medicaid disproportionate share hospital (DSH) payments.
Author(s): Brystana G. Kaufman, Kristin L. Reiter, George H. Pink, George M. Holmes
Citation: Health Affairs, 35(9), 1665-1672
Date: 09/2016
Type: Document
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Examines the impact of Medicaid expansion on urban and rural hospitals. Details specific effects of Medicaid expansion on Medicaid-covered hospital discharges, costs of uncompensated care, and operating margins. Provides policy recommendations regarding uncompensated care and Medicaid disproportionate share hospital (DSH) payments.
Author(s): Brystana G. Kaufman, Kristin L. Reiter, George H. Pink, George M. Holmes
Citation: Health Affairs, 35(9), 1665-1672
Date: 09/2016
Type: Document
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Task Force on Ensuring Access in Vulnerable Communities, Rural and Frontier: Executive Summary and Report
Reviews characteristics of South Dakota's rural and frontier communities. Identifies innovative healthcare delivery and payment models and makes state and federal policy recommendations to improve rural health. Highlights the importance of Critical Access Hospitals (CAHs). Linked map includes locations of South Dakota CAHs, Rural Health Clinics, and more.
Additional links: South Dakota Vulnerable Communities Task Force Map
Date: 09/2016
Type: Document, Map/Mapping System
Sponsoring organization: South Dakota Association of Healthcare Organizations
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Reviews characteristics of South Dakota's rural and frontier communities. Identifies innovative healthcare delivery and payment models and makes state and federal policy recommendations to improve rural health. Highlights the importance of Critical Access Hospitals (CAHs). Linked map includes locations of South Dakota CAHs, Rural Health Clinics, and more.
Additional links: South Dakota Vulnerable Communities Task Force Map
Date: 09/2016
Type: Document, Map/Mapping System
Sponsoring organization: South Dakota Association of Healthcare Organizations
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North Sunflower Medical Center Successfully Addressing Chronic Care Management
Documents North Sunflower Medical Center's (NSMC) progress as part of the Small Rural Hospital Transition (SRHT) project, particularly in the areas of discharge planning and follow-up, placing patients in the correct level of care, and chronic disease management. NSMC is a 25-bed Critical Access Hospital located in Ruleville, Mississippi.
Date: 09/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Documents North Sunflower Medical Center's (NSMC) progress as part of the Small Rural Hospital Transition (SRHT) project, particularly in the areas of discharge planning and follow-up, placing patients in the correct level of care, and chronic disease management. NSMC is a 25-bed Critical Access Hospital located in Ruleville, Mississippi.
Date: 09/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Medicare Advantage Enrollment Update 2016
Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) and other prepaid enrollment plans by metropolitan and non-metropolitan location. Addresses state variations.
Author(s): Fred Ullrich, Keith Mueller
Date: 09/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Reports on the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) and other prepaid enrollment plans by metropolitan and non-metropolitan location. Addresses state variations.
Author(s): Fred Ullrich, Keith Mueller
Date: 09/2016
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Aging in Rural and Frontier Oregon: Challenges Facing Rural and Frontier Home Health Agencies
Provides an overview of the services and challenges affecting home health agencies offering assistance to the aging population in rural Oregon by county. Includes discussion on healthcare access, home health agency regulation and reimbursement, recruitment and retention of healthcare providers, and physician compliance.
Author(s): Callie Walsh-Bailey, Jamie Horst
Date: 09/2016
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Provides an overview of the services and challenges affecting home health agencies offering assistance to the aging population in rural Oregon by county. Includes discussion on healthcare access, home health agency regulation and reimbursement, recruitment and retention of healthcare providers, and physician compliance.
Author(s): Callie Walsh-Bailey, Jamie Horst
Date: 09/2016
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Findings from the Field: Medicaid Delivery Systems and Access to Care in Four States in Year Three of the ACA
Explores the experiences of four states that participated in Medicaid expansion as part of the Patient Protection and Affordable Care Act (ACA): Colorado, Connecticut, Kentucky, and Washington. Examines what each state is doing to transition, from outreach and enrollment activities, to improving delivery systems and access to care. Contains rural-specific content and information on how the states are dealing with the expanded Medicaid population. Addresses how Community Health Centers have responded to the Medicaid expansion.
Author(s): Samantha Artiga, Robin Rudowitz, Jennifer Tolbert, Julia Paradise, Melissa Majerol
Date: 09/2016
Type: Document
Sponsoring organization: KFF
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Explores the experiences of four states that participated in Medicaid expansion as part of the Patient Protection and Affordable Care Act (ACA): Colorado, Connecticut, Kentucky, and Washington. Examines what each state is doing to transition, from outreach and enrollment activities, to improving delivery systems and access to care. Contains rural-specific content and information on how the states are dealing with the expanded Medicaid population. Addresses how Community Health Centers have responded to the Medicaid expansion.
Author(s): Samantha Artiga, Robin Rudowitz, Jennifer Tolbert, Julia Paradise, Melissa Majerol
Date: 09/2016
Type: Document
Sponsoring organization: KFF
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