Bounties and Bonuses Leave Small Hospitals Behind in Staffing Wars

KFF Health News Original

A hospital in Wisconsin sued to keep seven employees from taking jobs with a competitor. A health system in South Dakota is offering nurses $40,000 signing bonuses. Facilities with fewer resources are finding it difficult or impossible to compete for health care workers.

‘Heart’ of Little Shell: Newest Federally Recognized Tribe to Open First Clinic

KFF Health News Original

The Little Shell Tribe of Chippewa Indians of Montana plans to open the nation’s newest Indian Health Service clinic in Great Falls on Jan. 31 — marking the first time the tribe will have its culture reflected in health care offerings.

Rural Communities Left Hurting Without a Hospital, Ambulance or Doctors Nearby

KFF Health News Original

Rural areas such as Echols County, Georgia, have high levels of uninsured people and profound physician shortages that compound the lack of health care options, especially in the 12 states that have not expanded Medicaid.

Local Pharmacists Fill Rx Void as Big Brands Pull Out of Rural Areas

KFF Health News Original

Stores like Walmart and Shopko opened pharmacies in small towns, either buying out the local pharmacy or driving it out of business. What happens when those chains later withdraw, leaving communities with no pharmacy?

As Hospitals Fill Up, Paramedics Spend More Time Moving Patients, Less on Emergencies

KFF Health News Original

Gunnison paramedics cover the largest response zone in Colorado. Because of covid and the lack of nearby hospital beds, patients increasingly are transported long distances, leaving few ambulances to respond to emergencies.

Seeking Refills: Aging Pharmacists Leave Drugstores Vacant in Rural America

KFF Health News Original

Independent pharmacists who want to retire often have trouble attracting new pharmacists to take over their practices, particularly in rural areas. That can cause smaller towns to lose their pharmacies. With many pharmacists near retirement, the problem may only get worse.

Covid Shots for Kids Are Scarce — And Demand Is Mixed — In Rural Montana

KFF Health News Original

Although covid vaccines have been available to children as young as 5 for more than a month, they’re not being offered in some rural Montana counties, and parents don’t know where to find them in others.

A Rural Georgia Community Reels After Its Hospital Closes

KFF Health News Original

A record number of hospitals closed in rural America last year. For the residents of Cuthbert, Georgia, the loss has meant many problems, including delayed care for emergencies that can turn deadly.

As Big Pharma and Hospitals Battle Over Drug Discounts, Patients Miss Out on Millions in Benefits

KFF Health News Original

The number of pharmacies dispensing 340B discounted drugs soared to more than 31,000 this year. Drugmakers struck back by halting some discounts. Hospitals say they are losing millions of dollars — and cutting back services to patients — as a result.

Cómo las comunidades rurales están perdiendo sus farmacias

KFF Health News Original

Las farmacias de las esquinas, que alguna vez estuvieron tanto en las grandes ciudades como en los pueblos rurales, están desapareciendo de muchas áreas del país, dejando a unos 41 millones de estadounidenses en lo que se conoce como “desiertos de farmacias”, sin fácil acceso a las farmacias.

How Rural Communities Are Losing Their Pharmacies

KFF Health News Original

More than 1,000 independent rural pharmacies have closed since 2003, leaving 630 communities with no retail drugstore. As 41 million people stuck in pharmacy deserts make do, the remaining drugstores struggle to survive.

How Low Can They Go? Rural Hospitals Weigh Keeping Obstetric Units When Births Decline

KFF Health News Original

Many small hospitals have shuttered their labor and delivery units as births decline. For those who resist the trend, some studies suggest that hospitals with low deliveries are more likely to see complications for patients. Doctors and public health experts say there is no magic number to determine when it is best to close an obstetrics unit.

What Will It Take to Boost Vaccinations? The Scene From Kentucky’s Back Roads

KFF Health News Original

With Kentucky in the grip of a covid surge, public health workers are taking their vaccination campaign house to house and church to church, trying to outmaneuver the fantastical tales spread on social media and everyday hurdles of hardship and isolation.