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Virginia Gay Hospital (VGH), a critical-access hospital in Vinton, Iowa, has a filed a lawsuit against three private insurance companies that oversee the Iowa’s Medicaid program. This is part of the privatization of Medicaid that was launched in Iowa in April 2016. The lawsuit alleges that the three insurance companies,...

With Medicaid expansion on the ballot in this November’s midterm election, some rural hospitals have tempered their expectations of how it would increase their margins. The Nebraska Hospital Association, which has pushed expansion for years, indicated that rural providers might not fully benefit if enough patients in rural areas do...

The GAO found that most rural hospital closures were the result of financial distress. A 2016 study found that rural hospitals that closed from 2010-2014 had a medial operating margin of -7.41%. The GAO also found a disproportionately higher number of closures among rural hospitals with for-profit ownership. Overall, there...

Patients in rural Illinois are able to receive care close to home despite the lack of neurologist on staff in their hospital. A new telestroke care program in Illinois has significantly cut response time in those most crucial moments immediately following a stroke. The program has already shown great improvements...

The Georgetown University Health Policy Institute Center for Children and Families found that the rates of uninsured low-income adult citizens has sharply decreased across the country. Since 2008 and 2009, small towns and rural areas in states that expanded Medicaid have seen the largest decrease in uninsured low-income adults with...

The Centers for Medicare & Medicaid Services released a proposed rule that would reduce a handful of regulatory burdens on Critical Access Hospitals. As part of CMS' Patients Over Paperwork initiative, CMS has identified unnecessarily burdensome regulations on CAHs to be removed. These reductions may signal openness in further regulatory...

UnitedHealth Group's recent report details the extent of the physician shortage throughout the United States. The report finds that 13% of Americans (44 million people) live in the counties facing a primary care physician shortage. Rural residents are five times as likely to live in a county with a physician...

Demographic shifts and improper reimbursement has rural hospitals facing increased risks of shutdown and bankruptcy as bad debt has risen by 50 percent. “The reason why hospitals are closing at such a rapid rate is they really are subsidizing the cost of care that they’re providing…. They are no longer getting...

The CDC found in a 2017 study that rural teens in America are 11% less likely to have been vaccinated against HPV cancers and meningitis.   What Can Rural Clinicians Do? Clinicians in rural communities can play a critical role in their patients’ health by following three Rs: Recommend and administer all vaccines for...