Unbiased Analysis of Today's Healthcare Issues
Rural Emergency Hospitals (REHs) are a new Medicare provider type created to preserve essential emergency and outpatient access in rural communities where low inpatient volume makes full-service hospitals financially unsustainable. They receive enhanced outpatient payments and a fixed monthly facility payment in exchange for forgoing acute inpatient care. CMS has an REH fact sheet that…
How did the number of pediatrician and family medicine physician (FMP) change between 2010 and 2020, particularly for rural areas? A paper by Ramesh and Yu (2023) use data from the Health Resources and Services Administration (HRSA) Area Health Resources Files and and county characteristics from the American Community Survey and find that: From 2010…
That may be the case. Modern Healthcare reports: Last month, St. Charles Health System threatened to cut ties with all Medicare Advantage plans next year, a move that would leave an estimated 26,000 local beneficiaries without access to a hospital less than 100 miles away.“The reality of Medicare Advantage in central Oregon is that it…
How do you define if an area is rural? A paper by Bennett et al. (2019) provides some options. Population density. This is one of the simplest approaches and can be applied to any geographic unit. However, it may be problematic for geographic units with a mix of urban and rural sections. MSA-based. The Office…
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…
Rural children are more likely to be overweight than urban children, despite the fact that children living in urban areas engage in less physical activity.