Unbiased Analysis of Today's Healthcare Issues
On September 19, 2025, an executive order increased the fee for new H-1B petitions from approximately $3500 to $100 000 per applicant. How is this policy likely to impact the healthcare workforce in the U.S.? A paper by Liu et al. (2025) uses Department of Labor data on certified Labor Condition Applications (LCAs) supporting H-1B visas…
That is according to an article in JAMA based on a report from the Center for Healthcare Quality and Payment Reform. The report states: More than half (55%) of the rural hospitals in the U.S. do not offer labor and delivery services, and in 10 states, more than two-thirds do not. Over the past decade,…
That is the topic of a commentary by Carroll et al. (2022) in Health Services Research. The first issue they discuss is access to care. A core challenge in rural communities is declining access to hospital care. Eight percent of rural hospitals have closed over the last decade, and closure rates have increased in recent…
Not surprisingly, the impact is significant. That is according to a study by Malone et al. (2022), estimated using a difference-in-difference design with data between 2001 and 2018. Specifically, they find: Of the 1759 nonmetro counties in our study sample, 109 experienced a hospital closure during the study period. Relative to the nonclosure counterfactual, closures…
Perhaps according to Austin Frakt. He writes in JAMA Forum: In every year since 2011, more hospitals have closed than opened…For example, 15 of the 21 hospitals that closed in 2016 were in rural communities, and since 2010, nearly 90 rural hospitals have done so. Hundreds more are at risk of closure.One source of financial challenges to…
One of the goals of Medicare is to provide its beneficiaries access to quality care regardless of where they live. Thus, the Medicare program provides financial incentives to providers located in these remote areas. Whereas most Medicare pays most hospitals through the inpatient prospective payment system (IPPS), it pays certain rural hospitals based on their…