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Research ArticlePolicy Forum

Financially Fragile Rural Hospitals

Mergers and Closures

Mark Holmes
North Carolina Medical Journal January 2015, 76 (1) 37-40; DOI: https://doi.org/10.18043/ncm.76.1.37
Mark Holmes
director, North Carolina Rural Health Research Program, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill; associate professor, Department of Health Policy and Management, UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
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  • For correspondence: mark_holmes@unc.edu
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References

  1. ↵
    1. Morgan A
    Rural hospitals closing at alarming rate. Rural Health Voices website. http://blog.ruralhealthweb.org/2014/05/rural-hospitals-closing-at-alarming-rate/. Accessed November 12, 2014.
  2. ↵
    1. Radcliff TA,
    2. Brasure M,
    3. Moscovice IS,
    4. Stensland JT
    Understanding rural hospital bypass behavior. J Rural Health. 2003;19(3):252-259.
    OpenUrlCrossRefPubMedWeb of Science
  3. ↵
    1. Holmes M,
    2. Silberman P,
    3. Thompson K,
    4. Freeman V,
    5. Randolph RK
    Geographic Variation in Plan Uptake in the Federally Facilitated Marketplace. NC Rural Health Research Program Findings Brief. http://www.shepscenter.unc.edu/wp-content/uploads/2014/09/EnrollmentFFMSeptember_rvOct2014.pdf. Revised October 2014. Accessed December 12, 2014.
  4. ↵
    1. Kaiser Family Foundation
    Status of state action on the Medicaid expansion decision. Kaiser Family Foundation website. http://kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/. Accessed August 28, 2014.
  5. ↵
    1. Centers for Medicare & Medicaid Services (CMS)
    Provider of Services File. CMS website. http://www.cms.gov/Research-Statistics-Data-and-Systems/Files-for-Order/NonIdentifiableDataFiles/ProviderofServicesFile.html. Accessed December 18, 2014.
  6. ↵
    1. Holmes GM,
    2. Pink GH,
    3. Friedman SA
    The financial performance of rural hospitals and implications for elimination of the Critical Access Hospital program. J Rural Health. 2013;29(2):140-149.
    OpenUrlCrossRefPubMedWeb of Science
  7. ↵
    1. Muhlestein D
    Continued growth of public and private Accountable Care Organizations. Health Affairs website. http://healthaffairs.org/blog/2013/02/19/continued-growth-of-public-and-private-accountable-care-organizations/. Accessed November 12, 2014.
  8. ↵
    1. Noles M,
    2. Reiter KL,
    3. Pink GH,
    4. Holmes M
    Rural Hospital Mergers and Acquisitions: Who Is Being Acquired and What Happens Afterward? Chapel Hill, NC; North Carolina Rural Health Research Program: 2014. http://www.shepscenter.unc.edu/wp-content/uploads/2014/08/MergersAcquisitionsAugust2014.pdf. Accessed November 21, 2014.
  9. ↵
    1. Holmes GM,
    2. Slifkin RT,
    3. Randolph RK,
    4. Poley S
    The effect of rural hospital closures on community economic health. Health Serv Res. 2006;41(2):467-485.
    OpenUrlCrossRefPubMedWeb of Science
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In this issue

North Carolina Medical Journal: 76 (1)
North Carolina Medical Journal
Vol. 76, Issue 1
January 2015
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Financially Fragile Rural Hospitals
Mark Holmes
North Carolina Medical Journal Jan 2015, 76 (1) 37-40; DOI: 10.18043/ncm.76.1.37

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Financially Fragile Rural Hospitals
Mark Holmes
North Carolina Medical Journal Jan 2015, 76 (1) 37-40; DOI: 10.18043/ncm.76.1.37
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Policy Forum

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  • Sidebar: Impact of Racial Misclassification of Health Data on American Indians in North Carolina
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