Access/Insurance, Rural Health Systems, Rural Health - efficient care, MRHRC, health system reform
There are growing concerns about the current and future state of rural health. Despite decades of policy efforts to stabilize rural health systems through a range of policies and loan and grant programs, accelerating rural hospital closures combined with rapid changes in private and public payment strategies have created widespread concern that these solutions are inadequate for addressing current rural health challenges. The rural health system of today is the product of legacy policies and programs that often do not “fit” current local needs. Misaligned incentives undermine high-value and efficient care delivery. While there are limitations related to scalability in rural health system development, rural communities do have enormous potential to achieve the objectives of a high performance rural health system. This brief (and a companion paper at http://www.rupri.org/areas-of-work/health-policy/) discusses strategies and options for creating a pathway to a transformed, high performing rural health system.
Funding Organization or Grant
This report was funded by the Leona M. and Harry B. Helmsley Charitable Trust Grant number 2012PG-RHC030. We wish to thank Paula Weigel, PhD, Bryant Conkling, MPH, and Aaron Horsfield for their research contributions to the text in this document.
Alfero, C., Coburn, A., Lundblad, J. P., MacKinney, A. C., McBride, T., & Mueller, K. (2014). Advancing the transitions to a high performance rural health system. (Policy Brief). Iowa City, IA: Rural Policy Research Institute. RUPRI Health Panel.