A nonprofit publication of the Kentucky Center for Public Service Journalism

Rural Blog: Repealing Medicaid expansion provision of ACA could leave more rural hospitals at risk

Repealing the Patient Protection and Affordable Care Act could lead to an increase in the number of vulnerable rural hospitals, Shawn Radcliffe reports for Healthline. A report by the Chartis Center for Rural Health found that in states that expanded Medicaid in 2014, 36 percent of rural hospitals had a negative operating margin in 2015, compared to 47 percent in states that didn’t expand the program....

Rural Blog: Study says a state’s failure to expand Medicaid hurts rural hospitals more than urban

If your state didn’t expand Medicaid under federal health reform, that is likely hurting your rural hospitals more than it hurts urban hospitals, says a study by researchers at the University of North Carolina, published in the journal Health Affairs. Researchers “found that rural hospitals saw an improved chance of turning a profit if they were in a state that expanded Medicaid—while...

Corporate business plans, not local need, drive rural hospital closures, Kaiser report says

By Tim Marema Special to KyForward The number of rural hospital closures has increased every year since the Great Recession. A new report looks at three communities, including one in Kentucky, to learn why they lost their hospitals, and what happened when they did. Large, corporate hospital operators have closed rural healthcare facilities based on their business interests and haven’t considered...

More Kentucky patients are recuperating in local, rural hospitals after surgery in an urban hospital

Rural residents are increasingly being transferred out of big urban hospitals to recuperate in rural hospitals, many of which are struggling financially and can use the business. “We have seen trends of this around the state,” said Elizabeth Cobb, vice president of health policy for the Kentucky Hospital Association, said in an interview. Oregon’s legislature voted recently to encourage...

As auditor begins hearings on rural hospitals’ finances, state provides Medicaid report

By Al Cross Kentucky Health News   The expansion of the federal-state Medicaid program funneled $284 million to Kentucky health care providers in the first quarter of the year, the state Cabinet for Health and Family Services says in a report prepared for the hearings state Auditor Adam Edelen has begun to examine the fiscal health of rural hospitals.   Under the Patient Protection and Affordable...