- Colorectal Cancer Is Rising among Younger Adults. Some States Want to Boost Awareness.
- Rural Hospitals Built During Baby Boom Now Face Baby Bust
- Food Stamps Go Further in Rural Areas — Until You Add Transportation Costs
- CMS Announces Resources and Flexibilities to Assist with the Public Health Emergency in the State of Texas
- CMS Proposes New Payments for Digital Health Under CY2025 PFS Draft Rule
- Improving Public Health by Strengthening Community Infrastructure
- Biden Harris Administration Proposes Policies to Reduce Maternal Mortality, Advance Health Equity, and Support Underserved Communities
- Nearly Half of U.S. Counties Don't Have a Single Cardiologist
- Randolph County, Ill. Turns Unused Part of Nursing Home Into State-Of-The-Art Behavioral Health Center
- Safe and Stable Housing Is a Foundation of Successful Recovery
- Rural RPM Program Is a Lifeline for Pregnant Women
- Expert: Rural Hospitals Are Particularly Vulnerable to Increasing Cyberattacks Targeting Healthcare Facilities
- Biden-Harris Administration Invests Over $200 Million to Help Primary Care Doctors, Nurses, and Other Health Care Providers Improve Care for Older Adults
- AJPH Call for Papers Special Section on Intersections of Public Health And Primary Care
- NIH HEAL Initiative Turns Attention to Pragmatic Trials in Rural Communities
36 Rural Hospitals Have Closed Since 2020
From Becker’s Hospital CFO Report
Jellico (Tenn.) Regional Hospital, a 25-bed critical access facility, closed March 9, making it the 36th rural hospital to shutter or no longer provide inpatient services since 2020, according to data compiled by the University of North Carolina’s Cecil G. Sheps Center for Health Services Research.
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.
Below are the 36 rural hospitals that closed since 2020, beginning with the most recent.
Editor’s note: Facilities with an asterisk (*) signify converted closures (facilities that no longer provide inpatient services, but continue to provide some services, such as primary care, skilled nursing care or long-term care).
- Jellico (Tenn.) Regional Hospital
- St. Mark’s Medical Center (La Grange, Texas)
- Herington (Kan.) Hospital
- Spectrum Health Kelsey Hospital (Lakeview, Mich.)
- Indiana University Health Blackford Hospital (Hartford City, Ind.)*
- Martin General Hospital (Williamston, N.C.)
- Patients Choice Medical Center of Smith County (Raleigh, Miss.)
- St. Margaret’s Health-Spring Valley (Ill.)
- UPMC Lock Haven (Pa.)*
- St. Margaret’s Health-Peru (Ill.) (OSF Healthcare expected to reopen the hospital this spring)
- Ascension St. Vincent Dunn (Bedford, Ind.)
- Blessing Health Keokuk (Iowa)
- Audrain Community Hospital (Mexico, Mo.)
- Callaway Community Hospital (Fulton, Mo.)
- Acoma-Canoncito-Laguna Service Unit (Acoma, N.M.)*
- Galesburg (Ill.) Cottage Hospital*
- MercyOne Oakland Medical Center (Oakland, Neb.)*
- Community HealthCare System-St. Marys (Kan.)*
- Perry Community Hospital (Linden, Tenn.)
- Northridge Medical Center (Commerce, Ga.)*
- Southwest Georgia Regional Medical Center (Cuthbert, Ga.)
- Shands Lake Shore Regional Medical Center (Lake City, Fla.)
- Cumberland River Hospital (Celina, Tenn.)
- Bluefield (W.Va.) Regional Medical Center*
- Saint Luke’s Cushing Hospital (Leavenworth, Kan.)*
- Shands Live Oak (Fla.) Regional Medical Center*
- Shands Starke (Fla.) Regional Medical Center*
- Williamson (W.V.a) Memorial Hospital*
- Decatur County General Hospital (Parsons, Tenn.)
- Sumner Community Hospital (Wellington, Kan.)
- Edward W. McCready Memorial Hospital (Crisfield, Md.)*
- Mayo Clinic Health System-Springfield (Minn.)*
- Central Hospital of Bowie (Texas)*
- UPMC Susquehanna Sunbury (Pa.)*
- Mountain View Regional Hospital (Norton, Va.)*
- Pinnacle Regional Hospital (Boonville, Mo.)
Report to Congress from the Medicare Payment Advisory Commission Evaluating FFS Payments
A report to Congress from the Medicare Payment Advisory Commission (MedPAC) evaluates Medicare’s fee-for-service payments to providers, the Medicare Advantage and the Part D Prescription Drug Program, special needs plans for beneficiaries who are dually eligible for Medicare and Medicaid, and the new Rural Emergency Hospital provider designation.
Commission Reports to Congress on Medicaid and CHIP
Also known as MACPAC, the non-partisan Medicaid and CHIP Payment Advisory Commission conducts analysis and makes recommendations to Congress about policies affecting Medicaid and the Children’s Health Insurance Program (CHIP). In the first of two reports required for 2024, MACPAC focuses on ways to increase Medicaid beneficiaries’ participation in policymaking, how to make the denials and appeals process in Medicaid Managed Care more transparent, and provides analysis of allotments to states for Medicaid Disproportionate Share Hospitals.
Racial/Ethnic Differences in Experiences of Intimate Partner Violence and Postpartum Abuse Screening Among Rural US Residents who Gave Birth 2016-2020
The University of Minnesota describes rates of self-reported intimate partner violence among rural residents before or during pregnancy, and the frequency by which different racial or ethnic groups are not screened for abuse after giving birth. Uses 2016-2020 data from the Pregnancy Risk Assessment Monitoring System (PRAMS), a population-based surveillance survey. Features statistics with breakdowns by race or ethnicity.
Findings Released on Rural-Urban Differences in Housing Cost Burden Across the U.S.
The University of Minnesota Rural Health Research Center examines rural-urban differences in housing affordability across Census regions, divisions, states, and counties, using data from the 2017-2021 American Community Survey.
Prevent or Treat: Availability of Diabetes Self-Management Education and Dialysis in High Need Rural Counties
Researchers from the Rural and Minority Health Research Center assess the availability of in-county diabetes self-management education and dialysis across rural and urban counties. Among the findings: at least one site for kidney dialysis services is available in 59.2 percent of all counties across the U.S., but present in only 31.1 percent of noncore rural counties.
Partnership to Address Social Needs Across Metropolitan and Non-Metropolitan Prospective Payment System Hospitals and Critical Access Hospitals
This policy brief from the RUPRI Center for Rural Health Policy Analysis used survey data from the American Hospital Association to examine partnerships between hospitals and external organizations to address social needs.
CMS Seeks Input on a New Beneficiary Disenrollment Survey
Comments Due May 13
The Centers for Medicare & Medicaid Services (CMS) is developing a survey to collect beneficiaries’ reasons for disenrolling from a Medicare Advantage (MA) plan or Prescription Drug Plan (PDP), and they seek public input on the necessity of the survey, ways to enhance the quality and clarity of the questions, the estimated time burden on beneficiaries, and the methods for administering the survey. CMS will use the Disenrollment Survey to monitor the quality of service that Medicare beneficiaries get from plans and their providers and to understand beneficiaries’ expectations about their MA and PDP benefits and services. Rural enrollment in Medicare Advantage plans has been growing over the last decade, and researchers expect that a majority of rural beneficiaries will be enrolled in MA by 2025.
Meeting of the HRSA Advisory Committee on Infant and Maternal Mortality Scheduled
HRSA will hold a virtual public meeting of the Advisory Committee on Infant and Maternal Mortality (ACIMM) over three days beginning April 4. Topics discussed may include the federal Healthy Start program and rural healthcare access, social drivers of health, and women’s health before/between pregnancies. Individuals with lived experience and community members will provide remarks on how to achieve optimal maternal health and overall birth outcomes for underserved populations. Register at the ACIMM website and submit comments via email to SACIM@hrsa.gov.
HRSA National Health Service Corps: Three Options for Loan Repayment Programs – Apply by May 9
The application window for HRSA’s National Health Service Corp (NHSC) loan repayment programs just opened with a 50 percent increase in funding available for primary care clinicians who commit to working for at least two years in underserved and rural areas. This year, HRSA also seeks to address language barriers for patients and will provide a $5,000 award enhancement to providers who demonstrate Spanish proficiency. The award is available to eligible applicants in all three loan repayment programs and is in addition to the maximum award amounts up to $105,000. The open NHSC Rural Community Loan Repayment Program, along with other NHSC programs, helps health centers recruit and retain providers to rural communities. In 2023, NHSC rural provider numbers represent 38 percent of the overall health workforce supported by the programs.