North Carolina Rural Health Research and Policy Analysis Center

Current Projects

  • A Chartbook of Rural Population Health
    This project creates a chartbook of population health for rural areas. This resource is designed to allow policymakers and practitioners to better understand rural-urban disparities across a wide variety of population health indicators.
    Topics: Health disparities, Public health
  • Ambulatory Care Provided to Rural Medicare Beneficiaries by Rural and Urban FQHCs, RHCs, and Acute Hospitals
    This project will characterize the volume, cost, and case mix of ambulatory care provided to rural Medicare beneficiaries by rural and urban federally qualified health centers (FQHCs), rural health clinics (RHCs), and acute hospitals. The study will include urban-rural and geographic comparisons of volume, cost, and case mix by provider type.
    Topics: Health services, Hospitals and clinics, Medicare
  • Characteristics of Rural Hospitals at High Risk of Financial Distress
    Updates the Financial Distress Index Model with current hospital and market data. Evaluates changes in risk status and geographic distribution over time. Conducts an in-depth analysis of high risk hospitals.
    Topics: Health insurance and the uninsured, Healthcare financing, Hospitals and clinics
  • Do Rural Communities Have a Higher Rate of Avoidable Deaths?
    Based on some estimates, roughly half of deaths are avoidable in the sense they stem from risky behavior. What is less well known is the degree to which there is a rural-urban disparity in this rate.
    Topic: Health disparities
  • Hospital Readmission Following Care in a Swing Bed
    This study builds on our portfolio of swing bed work by examining the rate of hospital readmission for patients who receive post-acute care in swing beds compared to skilled nursing facilities and will inform the discussion on use, cost, and benefit of swing bed care.
    Topics: Hospitals and clinics, Medicare, Medicare Prospective Payment System (PPS), Quality
  • How Do Costs for Rural Medicare Beneficiaries Using Swing Beds Compare to Those Using Skilled Nursing Facilities?
    This study will estimate and compare total Medicare expenditures for episodes of care that include post-acute stays in either swing beds or skilled nursing facilities (SNFs). Results will inform federal and state agencies, rural providers and communities as to how post-acute care in swing bed versus a SNF affects the trajectory of costs and utilization for rural Medicare beneficiaries.
    Topics: Long term care, Medicare
  • How Rural Communities Respond and Recover after a Hospital Closure
    Current rates of rural hospital closures are the highest seen in the last few decades. What can we learn from the experiences of communities experiencing hospital closures?
    Topics: Hospitals and clinics, Workforce
  • Post-Acute Care for Rural Medicare Beneficiaries
    This project will describe the variation in the volume, mix and financial importance of post-acute services to rural hospitals; identify hospital and community characteristics associated with variation in post-acute services provided by rural hospitals; and determine where rural Medicare beneficiaries receive post-acute services.
    Topics: Hospitals and clinics, Long term care
  • Rural-Urban Variation in CMS Hierarchical Condition Categories (HCC) Risk Scores
    CMS uses hierarchical condition categories (HCC) to risk-adjust Medicare beneficiaries for multiple conditions. This adjustment is used for multiple programs, but it’s unknown whether the adjustment works similarly in rural and urban areas. This project investigates the distribution of beneficiaries’ and providers’ HCC risk scores across rurality.
    Topic: Medicare