“Nationwide, 360 rural hospitals, or 16% of all rural hospitals, are considered at immediate risk of closure, according to the report.”
Why this is important: Rural hospitals have been facing serious challenges on various fronts, and as a result, it is estimated by the Center for Healthcare Quality & Payment Reform that over 700, or almost a third of America’s rural hospitals, are in danger of closing down. Approximately half of those, or 360 rural hospitals, are at immediate closure risk. More than half of the rural hospitals in nine states are facing the risk of closure.
There are multiple factors contributing to the dire situation. Rural hospitals are losing money on patient care, citing low government reimbursements, but also to a greater extent, losses on private insurance, which creates the largest portion of overall losses.
In addition to insufficient government and private insurance reimbursements, rural hospitals face unique staffing challenges. The local employment pool is limited, especially considering some of the specialty skills and education required, which are more readily available in urban populated areas. Inconsistent patient and care volume contribute to staffing predictability issues. Due to the inherent relatively remote location of rural hospitals, patient, as well as employee access, is considerably more difficult compared to urban locations. A simple procedure or appointment can take half a day or more due to the increased commuting and travel.
Another complicating factor is that as rural hospitals are acquired by larger hospital systems, specialty care tends to concentrate in the more highly populated urban areas served by the hospital system, resulting in a focus of resources on urban areas.
In its reporting, the Center for Healthcare Quality & Payment Reform calls for improved reimbursements from government and private insurers, and says a federal investment of $5 billion, which is roughly one-tenth of one percent of national healthcare spending, would be enough to prevent the closure of the most vulnerable rural hospitals. --- Anthony L. Huber