Rural Health
Resources by Topic: Hospitals
Rural Hospital Experiences in the Colorado Hospital Transformation Program
Provides an overview of the Colorado Hospital Transformation Program (CO HTP), a 5-year program that ties Medicaid supplemental payments to hospitals' ability to meet performance targets through September 2026. Describes the experiences of three Critical Access Hospitals (CAHs) and explores how CO HTP impacts rural hospitals. Covers planning and community engagement, quality of care, and healthcare costs.
Date: 03/2025
Sponsoring organization: Rural Health Value
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Provides an overview of the Colorado Hospital Transformation Program (CO HTP), a 5-year program that ties Medicaid supplemental payments to hospitals' ability to meet performance targets through September 2026. Describes the experiences of three Critical Access Hospitals (CAHs) and explores how CO HTP impacts rural hospitals. Covers planning and community engagement, quality of care, and healthcare costs.
Date: 03/2025
Sponsoring organization: Rural Health Value
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Health Outside Hospital Walls
Outlines how Chadron Community Hospital and Health Services (CCHHS) in Chadron, Nebraska, is leveraging the changing healthcare environment to prioritize population health and fill needed service gaps within the community. As part of the focus on overall community health, CCHHS took leadership in an assisted living facility, funded a large scholarship fund to help cultivate a skilled local workforce, and assumed management of the community action agency.
Date: 03/2025
Sponsoring organization: Rural Health Value
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Outlines how Chadron Community Hospital and Health Services (CCHHS) in Chadron, Nebraska, is leveraging the changing healthcare environment to prioritize population health and fill needed service gaps within the community. As part of the focus on overall community health, CCHHS took leadership in an assisted living facility, funded a large scholarship fund to help cultivate a skilled local workforce, and assumed management of the community action agency.
Date: 03/2025
Sponsoring organization: Rural Health Value
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Special Report on the Financial Health of Pennsylvania Rural Hospitals, Fiscal Year 2023
Focuses on Pennsylvania general acute care hospitals located in rural counties. Features statistics on changes from FY 2020 to FY 2023, including closures, operating margins, utilization, uncompensated care, and negative or positive growth, with breakdowns by rural and urban areas.
Date: 02/2025
Sponsoring organization: Pennsylvania Health Care Cost Containment Council
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Focuses on Pennsylvania general acute care hospitals located in rural counties. Features statistics on changes from FY 2020 to FY 2023, including closures, operating margins, utilization, uncompensated care, and negative or positive growth, with breakdowns by rural and urban areas.
Date: 02/2025
Sponsoring organization: Pennsylvania Health Care Cost Containment Council
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Hawaii Community Health Needs Assessment: 2024 Update
Reports on health needs and health-related priorities for the state of Hawaii. Highlighted topics include financial security, food security, mental and behavioral health, housing, access to care, and more. Discusses rural-specific challenges throughout.
Date: 02/2025
Sponsoring organization: Healthcare Association of Hawaii
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Reports on health needs and health-related priorities for the state of Hawaii. Highlighted topics include financial security, food security, mental and behavioral health, housing, access to care, and more. Discusses rural-specific challenges throughout.
Date: 02/2025
Sponsoring organization: Healthcare Association of Hawaii
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Nebraska: Roadmap to Strong Rural Health Care
Provides information on sustaining rural hospitals and clinics, growing the rural healthcare workforce in Nebraska, improving access to long-term care, improving rural well-being, and preserving emergency medical services, among other topics related to rural healthcare in Nebraska.
Date: 02/2025
Sponsoring organizations: Nebraska Hospital Association, Nebraska Rural Health Association
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Provides information on sustaining rural hospitals and clinics, growing the rural healthcare workforce in Nebraska, improving access to long-term care, improving rural well-being, and preserving emergency medical services, among other topics related to rural healthcare in Nebraska.
Date: 02/2025
Sponsoring organizations: Nebraska Hospital Association, Nebraska Rural Health Association
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Key Facts About Hospitals
Presents information and data on hospitals and hospital spending. Covers national hospital spending, the hospital industry, use of hospital care, out-of-pocket spending and medical debt, hospital finances, and more. Includes a section on rural hospitals, which describes the prevalence of rural hospitals, rural hospital characteristics, discharges by payer, profit margins, and openings and closings of rural hospitals.
Author(s): Zachary Levinson, Scott Hulver, Jamie Godwin, Tricia Neuman
Date: 02/2025
Sponsoring organization: KFF
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Presents information and data on hospitals and hospital spending. Covers national hospital spending, the hospital industry, use of hospital care, out-of-pocket spending and medical debt, hospital finances, and more. Includes a section on rural hospitals, which describes the prevalence of rural hospitals, rural hospital characteristics, discharges by payer, profit margins, and openings and closings of rural hospitals.
Author(s): Zachary Levinson, Scott Hulver, Jamie Godwin, Tricia Neuman
Date: 02/2025
Sponsoring organization: KFF
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The Growing Impact of Medicare Advantage on Rural Hospitals Across America
Examines the impact of Medicare Advantage (MA) on rural hospitals. Discusses payment and reimbursement, healthcare access, hospital finance and patient data, hospital case examples, and more.
Date: 02/2025
Sponsoring organization: American Hospital Association
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Examines the impact of Medicare Advantage (MA) on rural hospitals. Discusses payment and reimbursement, healthcare access, hospital finance and patient data, hospital case examples, and more.
Date: 02/2025
Sponsoring organization: American Hospital Association
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Medicare Advantage Penetration and the Financial Distress of Rural Hospitals
Examines county-level Medicare Advantage (MA) penetration rates and the financial impact on rural hospitals. Utilizes 2014-2020 American Hospital Association data to analyze Medicare and non-Medicare inpatient days paid by the plans, with data breakdowns according to patient demographics, rural versus urban location, timing of inpatient stay, and more.
Author(s): Guido Cataife, Siying Liu
Citation: Health Economics Review, 15, 9
Date: 02/2025
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Examines county-level Medicare Advantage (MA) penetration rates and the financial impact on rural hospitals. Utilizes 2014-2020 American Hospital Association data to analyze Medicare and non-Medicare inpatient days paid by the plans, with data breakdowns according to patient demographics, rural versus urban location, timing of inpatient stay, and more.
Author(s): Guido Cataife, Siying Liu
Citation: Health Economics Review, 15, 9
Date: 02/2025
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Chartis Center for Rural Health Research & Resources for the 2025 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes Instability Continues to Threaten Rural Health Safety Net: Reduced Reimbursements, Dwindling Access to Care, and Deteriorating Population Health Status, and presentation slides on this report from the 2025 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Offers research and analysis of the stability of the rural healthcare safety net. Includes Instability Continues to Threaten Rural Health Safety Net: Reduced Reimbursements, Dwindling Access to Care, and Deteriorating Population Health Status, and presentation slides on this report from the 2025 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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2025 Stability of the Rural Health Safety Net: State and National Data Tables
Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2025 National Rural Health Association Policy Institute.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2025 National Rural Health Association Policy Institute.
Date: 02/2025
Sponsoring organization: Chartis Center for Rural Health
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