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Rural Health
Resources by Topic: Hospitals

Comparing Magnetic Resonance Imaging and Computed Tomography Machine Accessibility Among Urban and Rural County Hospitals in Wisconsin
Examines radiologic services in hospitals and disparities in access to magnetic resonance imaging (MRI) and computed tomography (CT) machines in rural versus urban Wisconsin hospitals. Provides data on rural and urban counties in Wisconsin, including population, county square miles, available MRI and CT machines, and person to MRI/CT ratios. Includes maps showing county-level access to radiologic services as well as comparisons across Wisconsin's rural and urban counties, all Wisconsin counties, and all U.S. counties.
Author(s): Benjamin Burdorf, William MacDonald, Pravallika Kesarla, Samantha Burdorf
Citation: Wisconsin Medical Journal, 124(3), 243-248
Date: 2025
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The University of Arizona Center for Rural Health Annual Report FY 2024-2025
Highlights the Center for Rural Health's past-year accomplishments, and describes challenges and opportunities for improving the health of rural Arizonans in the upcoming year. Discusses the State Office of Rural Health, Arizona Health Improvement Plan (AzHIP), Arizona Rural Hospital Flexibility program (AzFLEX), Arizona Small Rural Hospital Improvement Program (AzSHIP), and other programs. Includes a map of rural and safety net health facilities.
Date: 2025
Sponsoring organization: Arizona Center for Rural Health
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U.S. Hospital List (2024)
Excel file providing a comprehensive list of urban and rural U.S. hospitals that were reported open as of January 1, 2024. Includes 4,497 acute care hospitals and 1,457 specialty hospitals.
Date: 2025
Sponsoring organization: North Carolina Rural Health Research Program
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An Updated Model of Rural Hospital Financial Distress
Discusses a potential model to predict financial distress in rural hospitals, including negative cash flow margin, negative equity, or closure of facility. Tests 2,311 rural hospitals from 2013 to 2019 with the model and discusses its potential to predict financial distress and create accurate assessments.
Author(s): Tyler L. Malone, George H. Pink, George M. Holmes
Citation: Journal of Rural Health, 41(2)
Date: 2025
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Rural Hospitals: Community Cornerstones Facing Perilous Threats to Care
Infographic presenting data regarding the importance of rural hospitals to their communities. Includes information on workforce and financial challenges experienced by rural hospitals, as well as the impact of hospital closures on access to care. Provides recommendations on actions to support rural hospitals and communities.
Date: 2025
Sponsoring organization: American Hospital Association
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Roadmap to Strong Rural Health Care
Provides information on sustaining rural hospitals and clinics, growing the rural healthcare workforce in Nebraska, improving long-term care, improving rural well-being and mental health, supporting rural mothers, addressing the social determinants of health, and preserving emergency medical services, among other topics related to rural healthcare in Nebraska.
Date: 2025
Sponsoring organizations: Nebraska Hospital Association, Nebraska Rural Health Association
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Obstetric Care Access at Rural and Urban Hospitals in the United States
Offers data showing losses and gains of obstetric care for 4,964 short-term acute care hospitals between 2010 and 2022. Offers comparisons of rural and urban hospitals.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Caitlin Carroll, et al.
Date: 12/2024
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Texas Medicaid and CHIP Reference Guide: Fifteenth Edition
Reference guide for aspects of Texas's Medicaid and Children's Health Insurance Program (CHIP) programs, including caseload and costs, eligibility and enrollment, available services, program administration, and quality of care. Features information on rural-specific policies for reimbursement, time and distance standards, the Rural Access to Primary Care and Preventive Services Program, rural hospitals, Rural Health Clinics (RHCs), and Federally Qualified Health Centers (FQHCs).
Date: 12/2024
Sponsoring organization: Texas Health and Human Services
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Financial Performance Gaps Between Critical Access Hospitals and Other Acute Care Hospitals
Research letter examining how system affiliation impacted hospital financial measures for Critical Access Hospitals (CAHs) and non-CAHs between 2020 and 2022.
Author(s): Christopher Whaley, Marilyn Bartlett, Ge Bai
Citation: JAMA Health Forum, 5(12)
Date: 12/2024
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Medicare Could save Billions with Comparable Access for Enrollees If Critical Access Hospital Payments for Swing-Bed Services Were Similar to Those of the Fee-for-Service Prospective Payment System
Describes the use of swing beds for skilled nursing services at Critical Access Hospitals (CAHs) and average daily Medicare reimbursement for these services from 2015 through 2020. Examines data from a sample of 100 CAHs to determine whether Medicare enrollees would have had access to the same skilled nursing services provided by CAHs at alternative facilities within a 35-mile driving distance. Compares the average daily reimbursement for skilled nursing services at CAHs and alternative facilities, as well as the potential savings to Medicare if CAHs were reimbursed for skilled nursing services under the Skilled Nursing Facility (SNF) Prospective Payment System (PPS).
Date: 12/2024
Sponsoring organization: Office of Inspector General (HHS)
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