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Rural Health
Resources by Topic: Healthcare business and finance

The Path to Follow When You Can't Go It Alone
Podcast episode featuring a discussion of hospital mergers, acquisitions, and affiliations with three rural hospital executives and leaders. Describes how rural hospitals can leverage partnerships to maintain and expand care in their communities.
Date: 08/2023
Type: Document
Sponsoring organization: American Hospital Association
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RHC Cost Reporting 101 Webinar
Recording of an August 7, 2023, webinar providing an overview of cost reporting for Rural Health Clinics (RHCs). Covers relevant Medicare regulations, differences between provider-based and independent RHC cost reporting, and key cost report drivers. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 08/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Ownership of Hospitals: An Analysis of Newly-Released Federal Data & A Method for Assessing Common Owners
Analyzes Centers for Medicare & Medicaid Services (CMS) data on the ownership of all U.S. hospitals enrolled in Medicare. Presents data by hospital characteristics, including hospital type, rural and urban location, organizational structure; organizational owners and hospital chains; and individual owners.
Author(s): W. Pete Welch, Lanlan Xu, Nancy De Lew, Benjamin D. Sommers
Date: 08/2023
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Quality Time: Sharing PIE – Preventing Readmissions
Podcast episode discussing the varied approaches used by quality leaders from three Critical Access Hospitals to reduce readmissions. Covers community partnerships and collaboration with local health and human services providers, including emergency medical services (EMS).
Date: 08/2023
Type: Document
Sponsoring organization: Stratis Health
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Tracking The Elusive Medicaid Workforce To Improve Access
Discusses challenges to evaluating Medicaid enrollees' access to primary care providers. Describes how the Fitzhugh Mullan Institute for Health Workforce Equity used the Transformed Medicaid Statistical Information System (T-MSIS) to examine the primary care workforce providing healthcare to Medicaid enrollees. Outlines Medicaid workforce policy challenges, including federal regulations, workforce composition and supply, and community and market factors.
Author(s): Candice Chen, Qian "Eric" Luo, Mandar Bodas, et al.
Citation: Health Affairs Forefront
Date: 08/2023
Type: Document
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FY 2024 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule — CMS-1785-F and CMS-1788-F Fact Sheet
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2024 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the low-wage index hospital policy, Rural Emergency Hospitals (REHs) being allowed to receive Medicare Graduate Medical Education (GME) payments, changes to the rural wage index calculation methodology, and more.
Date: 08/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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MBQIP Measures Fact Sheets
Discusses the federal data collection and reporting process for Medicare Beneficiary Quality Improvement Project (MBQIP) Core Measures and MBQIP Additional Measures to help Critical Access Hospitals (CAH) and state Flex Program personnel involved in quality improvement. The measures address patient safety, patient engagement, care transitions, and outpatient care.
Date: 08/2023
Type: Document
Sponsoring organization: Stratis Health
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Association of Receipt of Paycheck Protection Program Loans With Staffing Patterns Among US Nursing Homes
Evaluated 6,008 nursing homes to determine if receiving a federal forgivable loan impacted nurse staffing hours. Data breakdown includes urbanicity of the evaluated nursing homes in addition to various business, quality, and patient characteristic measures.
Author(s): Jasmine L. Travers, Brian E. McGarry, Steven Friedman, et al.
Citation: JAMA Network Open, 6(7)
Date: 07/2023
Type: Document
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California Assembly Bill 2024: Report to the Legislature July 2023
Report analyzing hospital annual reports, surveys, and key informant interviews to determine the impact of California's Assembly Bill 2024 on physician recruitment and retention, discussing the benefits of employment versus contracting. Outlines how the bill addressed rural hospital-specific challenges and what challenges still remain.
Date: 07/2023
Type: Document
Sponsoring organization: California Department of Health Care Access and Information
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Improving the Social Determinants of Health in Rural America Through Medicaid Section 1115 Waivers
Policy brief discussing how Medicaid Section 1115 waivers can allow states to modify the social determinants of health in rural areas through pilot programs, delivery system reform, or enhanced benefit packages. Highlights existing Section 1115 waiver programs and recently approved and renewed waivers, as well as challenges related to improving health-related social needs and access to services in rural areas. Offers policy recommendations to improve health equity in rural areas through Medicaid programs.
Author(s): Alexandra Zimmerman
Date: 07/2023
Type: Document
Sponsoring organization: National Rural Health Association
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