rural health http://kbia.org en Why federal money for rural hospitals is vulnerable to budget cuts http://kbia.org/post/why-federal-money-rural-hospitals-vulnerable-budget-cuts <p></p><p><span style="line-height: 1.5;">&nbsp;&nbsp;</span><span style="line-height: 1.5;">Compared to their urban counterparts, rural hospitals serve a population that tends to be older, sicker, uninsured and have less income. Rural hospitals </span><a href="http://www.ncbi.nlm.nih.gov/pubmed/17565527" style="line-height: 1.5;">provide a lot of uncompensated care</a><span style="line-height: 1.5;"> and </span><a href="https://www.ivantagehealth.com/wp-content/uploads/2013/02/Rural-Sequestration-National-Map-and-Table.pdf" style="line-height: 1.5;">run on more narrow profit margins</a><span style="line-height: 1.5;">.</span></p><p>To stay open, these hospitals depend <a href="http://www.raconline.org/topics/hospitals/faqs/">on special federal designations</a> that give them a higher rate of reimbursements from Medicare and Medicaid. For example, when a hospital designated as a critical access hospital, Medicare reimbursements <a href="http://sanocapitalgroup.com/wp-content/uploads/2012/06/Medicare-Sequestration-Report_MO.pdf">can make up to a third of its entire revenue</a>.&nbsp;</p><p> Wed, 12 Jun 2013 18:08:57 +0000 Harum Helmy 35318 at http://kbia.org Why federal money for rural hospitals is vulnerable to budget cuts Why rural Missouri hospitals are rooting for Medicaid expansion http://kbia.org/post/why-rural-missouri-hospitals-are-rooting-medicaid-expansion <p></p><p><span style="line-height: 1.5;">The uphill congressional battle to expand Medicaid in Missouri is making rural hospitals that serve areas with high poverty levels really, really nervous.&nbsp;</span>KSMU's<span style="line-height: 1.5;"> Jennifer Davidson has the story.</span></p><p> Wed, 10 Apr 2013 16:37:55 +0000 Harum Helmy & Jennifer Davidson 31752 at http://kbia.org Why rural Missouri hospitals are rooting for Medicaid expansion Rural Reads: On rural definitions and rural doctor shortage http://kbia.org/post/rural-reads-rural-definitions-and-rural-doctor-shortage <p><em style="line-height: 1.5;">With the Rural Reads series, we’re trying something new. Every Friday, KBIA’s Health and Wealth Desk curates the week’s most interesting (or so we think) articles and reports on rural issues.</em></p><p><strong>What’s in a definition? The eligibility for federal grants</strong></p><p>In February, the U.S. Department of Agriculture released <a href="http://agriculture.house.gov/sites/republicans.agriculture.house.gov/files/pdf/reports/USDARuralDefinitionReport.pdf">a report</a> that recommends defining ‘rural’ as areas with 50,000 or fewer residents - a number that's getting some strong reactions. The rural definition&nbsp;determines eligibility for USDA’s rural grants and programs.&nbsp;</p><p>The excellent online news service <a href="http://www.dailyyonder.com">The Daily Yonder</a> is publishing a series of opinion pieces in response to USDA’s newest recommendation. Last week, Aletta Botts, a legislative staffer who helped draft the 2008 Farm Bill, <a href="http://www.dailyyonder.com/rural-definition-would-hurt-small-towns/2013/02/28/5683">wrote</a> that the 50,000 size limit is too large and would hurt smaller communities that can’t compete with larger towns to win federal grants. &nbsp;</p><p> Fri, 08 Mar 2013 19:33:54 +0000 Harum Helmy 30126 at http://kbia.org Why local advocates are rallying to support Missouri's 911 Good Samaritan bill http://kbia.org/post/why-local-advocates-are-rallying-support-missouris-911-good-samaritan-bill <p></p><p><a href="http://www.roosevelt.edu/CAS/CentersAndInstitutes/IMA/ICDP#Publications">A recent study</a> by researchers at Chicago’s Roosevelt University found that between 2007 and 2011, the number of deaths from heroin overdose in the state of Missouri more than tripled. In 2007, fewer than 70 people died from heroin overdose. In 2011, that number ballooned to 244.&nbsp;</p><p><a href="http://onlinelibrary.wiley.com/doi/10.1046/j.1360-0443.1999.9444712.x/abstract;jsessionid=8F650A7B7121E8964C1C9E4D3738EDB9.d04t01">Studies</a>&nbsp;<a href="http://link.springer.com/article/10.1093%2Fjurban%2Fjtg022">show</a>&nbsp;most accidental overdoses happen in the presence of others.&nbsp;KBIA’s&nbsp;Alexandra&nbsp;Olgin&nbsp;takes us to a rally in Jefferson City on Tuesday supports a bill that could encourage overdose witnesses to be a Good Samaritan and call 911.</p><p> Wed, 06 Mar 2013 17:34:47 +0000 Harum Helmy & Alexandra Olgin 29967 at http://kbia.org Why local advocates are rallying to support Missouri's 911 Good Samaritan bill How sequestration leads to cuts in research, Medicare http://kbia.org/post/how-sequestration-leads-cuts-research-medicare <p>Coming up we’ll tackle sequestration which is set to occur March 1. But first, when a large group of farmers in the Southeast banded together to sue a powerful dairy cooperative a few years ago, many hoped that the case would bring big changes to the industry. But as Peggy Lowe of Harvest Public Media reports, the recent settlement of the case involving Kansas City-based Dairy Farmers of America has resulted in some money for small farmers in the short term but little long-term reform.</p> Thu, 28 Feb 2013 16:10:07 +0000 Kristofor Husted 29610 at http://kbia.org How sequestration leads to cuts in research, Medicare New program eases debt for rural medical students http://kbia.org/post/new-program-eases-debt-rural-medical-students <p>The average medical school student graduates with close to $160,000 in debt.&nbsp;That heavy burden is one reason why there is a long-running shortage of primary care doctors in rural America. More and more graduating students choose higher-paying specialties over rural primary care. In this weekly update, a new pilot program helps medical students pay off loans as soon as they start residency, so it&#39;s easier to choose a lower-paying, but possibly more fulfilling career path.</p><p> Wed, 22 Feb 2012 13:46:16 +0000 Jacob Fenston 9242 at http://kbia.org New program eases debt for rural medical students How One Hospital Entices Doctors To Work In Rural America http://kbia.org/post/how-one-hospital-entices-doctors-work-rural-america Recruiting doctors to live and work in rural America is a chronic problem. Most health centers try to attract workers with big salaries and expensive homes.<p>Shots previously reported that one center in Maine was <a href="http://www.npr.org/blogs/health/2010/08/26/129451748/maine-wants-med-students-who-study-there-to-stay" target="_blank">trying to lure medical students</a> to the countryside for their final two years with the hope that they stick around.<p>The Ashland Health Clinic, a tiny hospital in southwest Kansas, is trying a different tack — a reverse-recruitment model. Thu, 02 Feb 2012 21:29:09 +0000 Peggy Lowe 8081 at http://kbia.org How One Hospital Entices Doctors To Work In Rural America Versus urban areas, rural Missouri has poorer health, fewer doctors http://kbia.org/post/versus-urban-areas-rural-missouri-has-poorer-health-fewer-doctors <p>Health is generally poorer in rural Missouri compared to urban areas, yet there is a distinct shortage of primary care physicians in rural Missouri. KBIA&rsquo;s Jacob Fenston has reported that the shortage is only expected to worsen over the next ten years as the elderly population expands.</p><p>This graphic shows some of these inequalities--click through for more detail. &nbsp;Created by Lydia Mulvany.</p> Mon, 12 Dec 2011 21:45:25 +0000 5208 at http://kbia.org Versus urban areas, rural Missouri has poorer health, fewer doctors Growing doctors in rural Missouri http://kbia.org/post/growing-doctors-rural-missouri <p>In rural Missouri, there are roughly half as many primary care doctors per person, compared to urban parts of the state. &nbsp;That&#39;s a problem, when you consider that rural residents are also older (about three years, on average) and poorer (about five percent more live in poverty). In this Health &amp; Wealth report, small towns in Missouri are facing the shortage by &quot;growing their own&quot; doctors and nurses, starting as early as middle school.</p><p> Tue, 06 Dec 2011 13:30:42 +0000 Jacob Fenston 4767 at http://kbia.org Growing doctors in rural Missouri Rural women diagnosed later http://kbia.org/post/rural-women-diagnosed-later <p>Women in rural Missouri are more likely to be diagnosed with breast cancer at a late stage than women in urban or suburban counties. In this weekly Health &amp; Wealth update, the urban / rural disparity in breast cancer detection.&nbsp;</p><p> Wed, 23 Nov 2011 13:56:15 +0000 Jacob Fenston 4115 at http://kbia.org Rural women diagnosed later Should Medical School Be Free? http://kbia.org/post/should-medical-school-be-free <p>Heck yeah!! So should lunch.&nbsp;But two researchers say making medical school free could send more young doctors into primary care and rural practice, thus solving one of the big challenges facing health care today. And they&#39;ve got a way to pay for it too.</p><p> Mon, 21 Nov 2011 14:23:48 +0000 Jacob Fenston 3884 at http://kbia.org Should Medical School Be Free? It's Rural Health Day! http://kbia.org/post/its-rural-health-day <p>To celebrate, experts from non-profits and government agencies are holding a live webinar on some of the challenges and rewards of providing health care to rural America.</p><p> Thu, 17 Nov 2011 18:13:32 +0000 Jacob Fenston 3785 at http://kbia.org It's Rural Health Day! Missouri's Rural Doctor Shortage http://kbia.org/post/missouris-rural-doctor-shortage <p>There&rsquo;s a doctor shortage in rural America. This is not news &ndash; just the opposite &ndash; it&rsquo;s been going on for ages. Even old Doc Adams, the country doctor in&nbsp;&ldquo;Gunsmoke,&rdquo; was constantly overworked. In one episode, when he finally gets a vacation, he&rsquo;s kidnapped by outlaws in need of his services. Present-day Missouri ain&rsquo;t Dodge City, Kansas. But many rural doctors are still overstretched.&nbsp;</p><div style="height: 100%; line-height: 1.5; font-size: 87.5%; word-wrap: break-word; margin-top: 0px; margin-right: 0px; margin-bottom: 0px; margin-left: 0px; padding-top: 0px; padding-right: 0px; padding-bottom: 0px; padding-left: 0px; border-top-width: 0px; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-style: initial; border-color: initial; outline-width: 0px; outline-style: initial; outline-color: initial; font-family: Georgia, 'Times New Roman', Times, serif; color: rgb(0, 0, 0); background-color: rgb(255, 255, 255); "><p> Mon, 24 Oct 2011 22:59:46 +0000 Jacob Fenston 2352 at http://kbia.org Missouri's Rural Doctor Shortage Rural Hospitals Face Medicare Cuts http://kbia.org/post/rural-hospitals-face-medicare-cuts <p>Two weeks ago, President Obama told the nation, &ldquo;Washington has to live within its means.&rdquo; As Democrats and Republicans continue to scour the federal budget for over a trillion dollars in possible cuts, one group very likely to be affected is rural hospitals in the Midwest and across the nation.</p><p> Mon, 03 Oct 2011 20:01:24 +0000 Jacob Fenston 2008 at http://kbia.org Rural Hospitals Face Medicare Cuts Rural Missourians struggle with mental health treatment options http://kbia.org/post/rural-missourians-struggle-mental-health-treatment-options <p>There are 1.6 million people living in rural Missouri, and many have a hard time accessing health care. In the 2011 Robert Wood Johnson Foundation&rsquo;s healthy county rankings, Hickory County in West Central Missouri is rated one of the worst in the state in terms of mental health. It&rsquo;s so bad, residents say they experience just over a week&rsquo;s worth of poor mental health days each month. They are also unhealthier and experience more poverty than the national average. Thu, 09 Jun 2011 13:00:03 +0000 Scarlett Robertson 14935 at http://kbia.org Rural Missourians struggle with mental health treatment options