From Health Affairs Today <[email protected]>
Subject Hospital Survival In Rural Markets
Date April 7, 2023 8:04 PM
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Closures, Mergers, & Profitability
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Friday, April 7, 2023 | The Latest Research, Commentary, And News From
Health Affairs

Dear John,

Is there a "must-read" book that you would recommend to your colleagues
and peers? Please join Health Affairs on Monday, April 24, for a virtual
"Bring Your Own Book" networking event to network with other health
policy professionals and discuss your favorite titles
<[link removed]>.


The event is open to Health Affairs Insiders. Learn more about how you
can join today
<[link removed]>.

Rural Hospital Survival

As financial distress persists in rural markets, Caitlin Carroll and
coauthors use national hospital data from the period 2008-18 to
examine how often unprofitable hospitals in predominantly rural markets
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close or merge, and to what extent predominantly rural markets
consolidate over time.

The authors find that many hospitals survived financial stress despite
poor financial performance. In some cases, hospitals returned to
profitability as well.

The results of their research "suggest that the process of consolidating
may be slow, giving policy makers more time to act, but also that rural
hospital markets are far from stable."

"Consolidation was more common in markets that had more competitors at
the beginning of the study period," the authors report. "As the number
of competitors in rural markets decreases, policy makers will need a
regulatory framework for areas that can support only limited hospital
competition."

Carrol discusses the research and findings in greater detail on this
week's episode of A Health Podyssey, which you can listen to here
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Read More
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Elsewhere At Health Affairs

Today in Forefront, Andrew Twinamatsiko and Zachary Baron argue that the
recent Texas ruling on preventive services and the Affordable Care Act
would open a new "Wild West"
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where insurers and employers pick and choose benefits to cover and
associated financial obligations.

Sarah Duffy challenges the "six month minimum" recommendation of
pharmacotherapy
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for opioid use disorder, arguing that, although more evidence is needed,
treatment duration should start with a minimum of a year.

Richard Hughes IV and coauthors argue that, while the Braidwood v
Becerra decision leaves coverage of preventive care uncertain, real
policy solutions are available
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including installing oversight by government leaders and exercising
administrative solutions to increase the US Preventive Services Task
Force's accountability.

Read more on Forefront
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and learn more about how you can contribute
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to the publication.

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Melanie Bella On Medicaid Expansion And Beyond

Health Affairs' Ellen Bayer and Kathleen Haddad interview Melanie Bella,
head of partnerships and policy at Cityblock Health and current chair of
Medicaid and CHIP Payment and Access Commission (MACPAC) on Medicaid
expansion, dual eligibles, and more.

Listen Here
<[link removed]>


Daily Digest

Hospital Survival In Rural Markets: Closures, Mergers, And Profitability
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Caitlin Carroll et al.

Sweeping Ruling Blocks Preventive Services Coverage Requirements
Nationwide
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Andrew Twinamatsiko and Zachary Baron

The Recommended Minimum Length Of Pharmacotherapy For Opioid Use
Disorder Is Actually More Than A Year, But More Research Is Needed
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Sarah Q. Duffy

Repairing The US Preventive Services Task Force After Braidwood v.
Becerra
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Richard Hughes IV et al.

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mailto:[email protected]

About Health Affairs

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