With the unwinding of Medicaid post-COVID emergency, rural healthcare is falling deeper into financial trouble.
Consulting form Chartis just published their review of rural healthcare…among the findings
The unwinding issue is exacerbating problems in states that failed to expand Medicaid…the vast majority of which are those with the most hospitals in financial distress. Simply put – they have to deliver way more healthcare to people without health insurance.
Across the 10 remaining non-expansion states (Alabama, Florida, Georgia, Kansas, Mississippi, South Carolina, Tennessee, Texas, Wisconsin, and Wyoming), the percentage of facilities with a negative operating margin increased year-over-year from 51% to 55%. These states are home to more than 600 rural hospitals…Several of these states are among the most severely affected by hospital closures and a loss of access to care.
The percentage of America’s rural hospitals operating in the red jumped from 43% to 50% in the last 12 months.
418 rural hospitals are “vulnerable to closure” according to a new, expanded
Healthcare deserts are a huge problem for rural America, especially in areas with lots of extractive industries (mining, energy, agriculture. Workers in those industries are much more likely to suffer severe occupational injuries, injuries that benefit greatly from care delivered in the “golden hour”.
What does this mean for you?
Not expanding Medicaid is killing rural healthcare.