President and CEO, Center for Healthcare Quality and Payment Reform
Joined September 2009
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More than 120 rural hospitals have stopped delivering babies since 2020, a 12% reduction in the # of rural obstetric units in the U.S., and an average of 2 closures per month. State-by-state counts, casues and solutions are in this report: ruralhospitals.chqpr.org/dow…
Over 100 #ruralhospitals stopped delivering babies in the past 5 years - 2 closures per month on average. Most #rural communities no longer have #maternitycare. Why? #Medicaid & commercial health plans aren’t paying enough to cover the cost. #ruralhealth ruralhospitals.chqpr.org/dow…
ALT https://ruralhospitals.chqpr.org/downloads/Rural_Maternity_Care_Crisis.pdf
Why are so many #ruralhospitals closing? And what should be done to preserve access to #rural #healthcare services? The real causes of the problem and the solutions needed are explained in this article and webinar from @PennLDI ldi.upenn.edu/our-work/resea… #ruralhealth
Policymakers have tried many payment approaches to stabilize the finances of rural hospitals & bolster patient access to health care in rural areas, but challenges persist.
Join us April 19 for our virtual panel discussion on improving rural health care.
ldi.upenn.edu/events/rural-h…
Harold Miller retweeted
‘It is not an exaggeration to say that #rural #maternitycare is in a state of crisis, and a crisis demands immediate action.’ @PaymentReform @HaroldDMiller ow.ly/n9XA50QIxAi
Maternal & infant mortality will continue to increase if we allow more #rural communities to lose #maternitycare services. Private health plans & #Medicaid programs need to pay #ruralhospitals enough to attract & retain OB physicians, OB nurses, & midwives in #rural areas.
More than half of rural hospitals in the US no longer offer birthing services. @SammyAnderer reports on solutions for the rural maternity care crisis. ja.ma/42JkPF3 #MedicalNews
Harold Miller retweeted
Packed house at the #ACCCVSummit and started with a bang with a fantastic opening plenary by @HaroldDMiller @PaymentReform on flipping the script on quality patient care and how care should be paid for in the future.
One of the hidden causes of the #maternitycare crisis is the inadequate payments for midwives, birth centers, & #ruralhospitals from #Medicaid and commercial insurance plans. @birthbundler & @doccrearperry speak out about the problem in @StarTribune startribune.com/midwifery-fa…
There is a growing crisis in #rural #maternity care. Immediate actions are needed to address the serious workforce and payment challenges facing small #ruralhospitals that deliver #maternitycare. The causes and solutions are described in this new report: ruralhospitals.chqpr.org/dow…
Many #ruralhospitals in Kentucky and other states are at risk of closing. @KET explains the reasons why and what needs to be done to preserve access to essential #healthcare services in #rural communities. ket.org/program/kentucky-edi… @SaveRuralHospitals @PaymentReform
Patients, physicians, and hospitals are being harmed by inadequate payments and claims denials by Medicare Advantage plans. Congress & @CMSGov need to fix this before more small #ruralhospitals are forced to close. beckershospitalreview.com/fi…
A #ruralhospital shouldn't have to beg for donations to avoid closing when the problem is caused by health insurance companies paying less than it costs to deliver essential services in #rural communities.
medpagetoday.com/special-rep… @KristinaMFiore @medpagetoday @Save_RuralHosps
Hundreds of small #rural communities across the US could soon be facing what Berwick PA has faced as more #ruralhospitals are being forced to close. @kmamula1 & the @PittsburghPG describe the impacts here: newsinteractive.post-gazette… and here post-gazette.com/business/he… #ruralhealth
Medicare Advantage plans are making it more likely that #ruralhospitals will close. It won't do seniors much good to have zero-premium insurance if there's nowhere to use it. #ruralhealth #rural axios.com/2023/08/21/rural-h… @arielle_amara @axios
Thanks to
@ChrisRongey
, @AmyMarxkors , &
@kmoxnews
for raising awareness that many #ruralhospitals in Missouri could be forced to close due to inadequate payments from health insurance plans. Get more information about the problem & solutions at ruralhospitals.chqpr.org/Pro… #rural
Welcome back to the start of another week with us, @ChrisRongey & @AmyMarxkors on @kmoxnews:
10:30 Ellen Carnaghan
11:30 @MattPauleyOnAir
12:30 @HaroldDMiller
📻: 98.7FM/1120AM
📱: @Audacy app
💻: audacy.com/stations/kmox
One-third of Missouri’s #ruralhospitals at risk of closure, new data shows missouriindependent.com/brie… via @MO_Independent @clarabatess #ruralhospital #ruralhealth #rural #healthequity
True value-based care will only be possible when all the expensive, meddling middlemen are gone, so physicians can deliver the care patients need & be paid adequately by the true purchasers of healthcare (both employers and patients). #VBHC healthleadersmedia.com/payer… @lizzymitch2
"You can’t yoga your way out of severe burnout [from] spending hours a day doing prior authorization...[or]...having to let go of 3 of your...staff because Medicare payments are not adequate." @JackResneckMD politico.com/news/2023/05/28… We need @PaymentReform in #healthcare now.
A new @commonwealthfnd article by @MarthaHostetter
shows how #ruralhospitals can work together to improve #rural #healthcare w/o merging with big systems. But health plans need to pay small hospitals adequately or they'll be forced to close. commonwealthfund.org/publica… #ruralhealth
Under half of #ruralhospitals offer labor and delivery services, putting rural moms at risk.
Health plans need to pay enough to ensure #maternitycare is available everywhere. @dailyyonder
dailyyonder.com/under-half-o… #rural #ruralhealth #maternalmortality #healthequity #maternity
