Literature Review

36 rural hospitals have closed since 2020 Becker's Hospital CFO Report, by Alan Condon; 3/21/24 The closures highlight the heightened financial challenges that rural hospitals face amid persisting workforce shortages, rising costs and leveling reimbursement. In addition, only 45% of rural hospitals now offer labor and delivery services, and in 10 states, less than 33% do, according to the Center for Healthcare Quality and Payment Reform. [Listed in the article] are the 36 rural hospitals that closed since 2020, beginning with the most recent.

The 19 rural emergency hospitals, by state Becker's Hospital CFO Report, by Andrew Cass, 3/15/24Nineteen hospitals have converted to the rural emergency designation since the law that created the designation took effect in January 2023, according to data from University of North Carolina's Cecil G. Sheps Center for Health Services Research in Chapel Hill.  Here are the hospitals that have converted to rural emergency status, by state: ... [Click on the title's link to view]

St. Croix Hospice improves access to end-of-life care with new branch in Clarinda, IAPR Newswire, by St. Croix Hospice; 2/29/24St. Croix Hospice expands their presence in Iowa with a new branch in Clarinda. This location marks the fifteenth St. Croix Hospice branch in Iowa and helps patients and families residing in the surrounding communities access exceptional hospice care from local caregivers and clinical staff.

Rural hospital alliance aims to increase access via telehealthModern Healthcare, by Alex Kacik; 2/14/24Rural hospitals are teaming up to provide specialty care to patients via a new telehealth program. Editor's Note: Full access to the article requires a subscription.

Kansas hospital to transition to rural emergency hospital Becker's Hospital CFO Report, by Maeline Ashley; 2/12/24La Crosse, KS-based Rush County Memorial Hospital has decided to transition to a rural emergency hospital due to ongoing rural healthcare challenges like reimbursement changes, cost increases, governmental change, and a local population decrease.

‘Crying wolf’ or dying breed? Incentives often ignore plight of rural skilled nursing operatorsMcKnights Long-Term Care News, by Kimberly Marselas; 1/29/24As hundreds of nursing homes have shuttered in the last few years, the very strategies meant to prop up the sector have often left the most isolated, resource-strapped facilities with nothing gained. Several new federal payment models and insurance programs are designed to allow skilled nursing providers to take on financial risk, tap into new revenue streams or access additional staffing and clinical resources.

New program to provide emergency funding to rural hospitalsCapitol Beat, by Dave Williams; 1/17/24A nonprofit health-care organization announced plans ... to help financially struggling rural hospitals in Georgia in danger of closing. Ohio-based CareSource will contribute $5 million in emergency funding to hospitals and hospital-owned nursing homes in rural communities suffering critical cash deficits. Working in partnership with Cumming-based HomeTown Health, which represents rural hospitals across Georgia, the CareSource Rural Access Advancement Program will provide bridge loans to be repaid and reinvested into the program once the recipient has stabilized. Since 2010, nine rural hospitals have closed in Georgia, third-most in the nation.

Pressing questions about rural telehealth access and investments put innovation in dangerMcKnights Long-Term Care News, by Kimberly Marselas; 1/22/24Proven healthcare technologies can help improve patient care and boost staff confidence, but in many rural areas, one major impediment remains: lack of high-speed internet.

Rural nursing homes' livelihood may depend on non-existent staffMcKnights Long-Term Care News, by Kimberly Marselas; 1/15/24... Rural skilled nursing providers have been among the most deeply affected by pandemic-era losses, a fact acknowledged by a provision in the mandate that gives them two extra years to hire needed staff. ... Mark Parkinson, president and CEO of the American Health Care Association, has called staffing “the metric that will matter most” for rural healthcare over the next five to 10 years.

Will we close the Medicare Advantage primary care gap in 2024?MedCity News, by Jim Bonnette; 1/8/24... Across all healthcare industry stakeholders, there is a pressing need to address this growing concern: MA members without primary care physicians (PCPs). This cohort, called the MA Primary Care Gap, may present the highest risk to health plans as MA becomes their fastest-growing segment . ... Furthermore, the MA Primary Care Gap is widening due to industry shortages of primary care providers and the rise of healthcare deserts in both rural areas and under-served urban areas. The absence of primary care physicians is particularly troublesome for Medicare Advantage patients with multiple chronic diseases and complex healthcare needs.

How broadband expansion is bolstering rural healthcareModern HealthcareDecember 26, 2023Health systems have emerged as crucial collaborators in government efforts to improve access to high-speed internet in rural communities. Nearly 30 million people in the U.S. live in places that lack broadband infrastructure, according to the Commerce Department. 

Walgreens’ VillageMD to shutter more clinics in cost-cutting planModern HealthcareDecember 15, 2023Walgreens-backed VillageMD is exiting Indiana. The primary care provider plans to shutter all 12 of its Village Medical practices across the state, effective Jan. 19, a VillageMD spokesperson confirmed Friday. Some of the locations are co-located with Walgreens stores, but the stores are not closing, the spokesperson said. The closures stem from Walgreens’ larger cost-cutting plan announced in October that involves closing 60 VillageMD-operated clinics in five markets. Earlier this month, VillageMD said 10 clinics in the Jacksonville, Florida, area will close in January. Walgreens is seeking $1 billion in savings, most of which will come from pharmacy operations and scaling back capital projects by about $600 million. 

Kansas’ unrivaled rural hospital crisis—58% at risk of closing, 82% lost money on patient careKansas ReflectorDecember 12, 2023Topeka, KS—Financial weaknesses at four of every five rural Kansas hospitals provide leverage to Medicaid expansion advocates who are eager for the infusion of $680 million annually in new government investment into the state’s health care system. The Center for Healthcare Quality and Payment Reform says 84 of the state’s 102 rural hospitals recorded financial losses on patient services in the most recent year data is available. The health policy organization reports 59 of the state’s rural hospitals are in jeopardy of closing. Twenty-eight are at immediate risk of collapse. A health care delivery calamity has been building for years, as 10 of Kansas’ rural hospitals closed since 2005. ... “How much more evidence do we need that rural communities need our support to keep health care affordable and accessible?” said Democratic Gov. Laura Kelly. Kelly said expansion of Medicaid eligibility to about 150,000 lower-income Kansans will narrow coverage gaps and throw a lifeline to hospitals and communities. ... “We can only judge the impact of not expanding Medicaid by looking at the states around us that have,” Kelly said. ... Administrators at hospitals in Kansas are urging lawmakers to break from the 10 Southern and rural states that—so far—reject Medicaid expansion.