Rural Hospitals: Federal Leadership and Targeted Programs Needed

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Report Type	Reports and Testimonies
Report Date	June 12, 1990
Report No.	HRD-90-67
Subject	Community hospitals Financial management Rural hospitals Health care costs Hospital administration Hospital care services Medicaid Medicare Rural economic development HCFA Essential Access Community Hospital Program HCFA Medical Assistance Facility Demonstration Program Rural Health Care Transition Grant

Summary:

Pursuant to a congressional request, GAO identified and reviewed programs targeted at assisting rural hospitals.

GAO found that: (1) multiple, interrelated factors contributed to the financial distress of at-risk rural hospitals; (2) at-risk rural hospitals had low patient volume, limited services, less technology, and higher costs per discharge; (3) there were many federal initiatives addressing at-risk rural hospitals, but, despite those efforts, many rural community hospitals were financially distressed; (4) problems remained because of shortcomings in program design, inadequate targeting, insufficient publicity, and ineffective monitoring; and (5) the lack of centralized information on the initiatives' outcome has prevented hospital and state officials from building on successes and avoiding failures.

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Rural Hospitals: Federal Leadership and Targeted Programs Needed