Instead of Selling, Some Rural Hospitals Band Together To Survive
Independent and rural hospitals are collaborating with their neighbors to shore up their finances instead of joining larger health systems to stay afloat.
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Experts Say Rural Emergency Rooms Are Increasingly Run Without Doctors
Some doctors and the groups that represent them say physicians’ extensive training leads to better emergency care, and that some hospitals are trying to save money by not hiring them. They support new laws in Indiana, Virginia, and South Carolina that require physicians to be on-site 24/7.
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Public Health Officials Move To Protect Native Americans Against Measles Outbreak
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Tribal Health Officials Work To Fill Vaccination Gaps as Measles Outbreak Spreads
Native American tribes and health organizations are hosting clinics and calling patients to counteract low measles vaccination rates and limited access to health care as the disease spreads across the country.
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Thune Says Health Care Often ‘Comes With a Job.’ The Reality’s Not Simple or Straightforward.
Sixty percent of Americans have health insurance through their own workplace or someone else’s job. But not all employers provide health insurance or offer plans to all their workers. When they do, cost and quality vary widely, making Thune’s statement an oversimplification.
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Native Americans Hurt by Federal Health Cuts, Despite RFK Jr.’s Promises of Protection
The Indian Health Service was mostly spared in the federal government’s widespread staffing cuts, but tribal governments and organizations have lost funding elsewhere in the melee of federal health agency cuts.
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A Medicaid Patient Had a Heart Attack While Traveling. He Owed Almost $78,000.
Federal law says Medicaid must cover out-of-state emergency care. But a Florida man got a five-figure bill after a South Dakota hospital declined to charge his state’s Medicaid program.
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Rural Patients Face Tough Choices When Their Hospitals Stop Delivering Babies
More than 100 rural hospitals have stopped delivering babies since 2021, including a South Dakota hospital that serves small towns, farming communities, and a Native American reservation. Patients there now travel at least an hour to give birth.
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Some Rural Hospitals Ditch Medicare Advantage
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Slashed Federal Funding Cancels Vaccine Clinics Amid Measles Surge
Federal funding cuts, though temporarily blocked by a judge, have upended vaccination clinics across the country, including in Arizona, Minnesota, Nevada, Texas, and Washington state, amid a rise in vaccine hesitancy and a resurgence of measles.
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Rural Hospitals Question Whether They Can Afford Medicare Advantage Contracts
Some rural hospitals have canceled — or are considering ending — contracts with insurance companies that offer Medicare Advantage plans, saying the private policies jeopardize their finances and impede patient care.
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States Facing Doctor Shortages Ease Licensing Rules for Foreign-Trained Physicians
Amid doctor shortages, several states have stopped requiring foreign-trained providers to repeat residencies before they’re fully licensed. Critics say patients could be harmed because of the loosened training requirements.
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Native American Patients Are Sent to Collections for Debts the Government Owes
Federal law says Native Americans aren’t liable for medical bills the Indian Health Service promises to pay. Some are billed anyway as a result of backlogs or mistakes from the agency, financial middlemen, or health systems.
By Katheryn Houghton and Arielle Zionts -
Community Health Workers Spread Across the US, Even in Rural Areas
Community health workers are increasingly common in rural areas, where they help patients overcome barriers to accessing care and staying healthy.
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More Mobile Clinics Are Bringing Long-Acting Birth Control to Rural Areas
Small-town doctors may not offer IUDs and hormonal implants because the devices require training to administer and are expensive to stock.
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Patients Suffer When Indian Health Service Doesn’t Pay for Outside Care
The Indian Health Service has a program that can pay for outside appointments when patients need care not offered at agency-funded sites. Critics say money shortages, complex rules, and administrative fumbles often block access, however.
By Arielle Zionts and Katheryn Houghton -
World-Famous Wall Drug Isn’t Immune From Challenges Facing Rural Pharmacies
Even as part of a popular South Dakota tourist attraction, an independent pharmacy serving locals, remote ranchers, and sightseers struggles with staffing and insurer payments.
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Montana Creates Emergency ‘Drive-Thru’ Blood Pickup Service for Rural Ambulances
The network is aimed at helping rural patients, who face higher rates of traumatic injuries and death but may not live near a hospital with a stockpile of blood.
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Native Americans Have Shorter Life Spans. Better Health Care Isn’t the Only Answer.
Social services, such as parenting classes and economic development programs, can help increase the life spans of Native Americans, some health experts say. But insurers don’t always cover these services.
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