Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare business and finance

Medicare Advantage in Rural Areas: Implications for Hospital Sustainability
Explores the relationship between Medicare Advantage (MA) penetration levels in rural areas and acute care hospital financial distress and closure between 2008 and 2019. Analyzes data from Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases from 14 states to describe rural acute care hospitals with low and high MA penetration.
Author(s): Rachel Mosher Henke, Kathryn R. Fingar, Lan Liang, H. Joanna Jiang
Citation: American Journal of Managed Care, 29(11), 594–600
Date: 11/2023
Type: Document
view details
North Dakota Critical Access Hospital Conditions of Participation (CoP) Checklist
Provides a checklist for establishing a Critical Access Hospital (CAH) in North Dakota. Details the required documentation, policies, and information needed by the state survey team to meet the CAH certification standards.
Date: 11/2023
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
view details
Beyond the Waiting Room: The State of Dental Care Access in West Virginia
Discusses dental care access in West Virginia, highlighting workforce shortages and underserved populations including rural residents. Offers policy recommendations to decrease disparities including interprofessional care, reimbursement structures, and more.
Date: 11/2023
Type: Document
Sponsoring organizations: Harmony Health Foundation, West Virginia Oral Health Coalition
view details
Kansas Marketplace Enrollment, 2023
An infographic that depicts enrollment in the health insurance marketplace at the county level as well as cost of monthly marketplace premiums.
Date: 11/2023
Type: Document
Sponsoring organization: Kansas Health Institute
view details
Health Coverage Among American Indian and Alaska Native and Native Hawaiian and Other Pacific Islander People
Provides an overview of health insurance coverage for American Indian and Alaska Native (AIAN) and Native Hawaiian and Other Pacific Islander (NHOPI) people. Provides additional information on demographics, work status, income, and English proficiency. Discusses issues of access, equity, and geographic isolation for these communities.
Author(s): Latoya Hill, Samantha Artiga
Date: 11/2023
Type: Document
Sponsoring organization: KFF
view details
Rural Health Network Development Program Directory, 2023-2027
Provides contact information and brief overviews of the 44 initiatives funded through the Rural Health Network Development grant program during the 2023-2027 grant period.
Date: 11/2023
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
view details
Uncompensated Care is Highest for Rural Hospitals, Particularly in Non-Expansion States
Analyzes uncompensated care and hospital operating expense data to explore trends over time, the role of Medicaid expansion, and the impact on rural hospitals. Includes state-by-state comparisons as well as rural and urban comparisons.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George H. Pink
Citation: Medical Care Research and Review, 81(2), 164-170
Date: 11/2023
Type: Document
view details
A Comparison of Non-Operating Revenue between Rural and Urban Hospitals
Compares the relative percentage and composition of non-operating revenue (NOR) among Critical Access Hospitals (CAHs), rural Prospective Payment System (R-PPS) hospitals, and urban Prospective Payment System (U-PPS) hospitals from 2011-2019. Describes how hospitals can use NOR to offset negative operating incomes. Presents data on the composition of NOR by hospital type and ownership.
Author(s): Ariana Pitcher, Ruoyu Zhang, Susie Gurzenda, George Pink, Kristin L. Reiter
Date: 11/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
view details
2023 Rural-Urban Disparities in Health Care in Medicare
Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2022, with breakdowns by race and ethnicity. Focuses on patient experience and clinical care measures, including screening for and management of health conditions, medication-related issues, and access to and availability of care.
Date: 11/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
view details
Still Searching: Meeting Oral Health Needs in Rural Settings
Report discusses oral health access in rural areas. Compares barriers to care in rural, suburban, and urban communities. Highlights teledentistry use and insurance rates, among other factors.
Author(s): Paige Martin, Morgan Santoro, Lisa J. Heaton, et al.
Date: 11/2023
Type: Document
Sponsoring organization: CareQuest Institute for Oral Health
view details