Publications

The Flex Monitoring Team completes projects each year in a variety of topic areas such as CAH financial and operational improvement, patient safety, quality of care, Emergency Medical Services, and social determinants of health. These publications aim to evaluate the Flex Program and disseminate information to State Flex Programs, CAHs, and the general public. Our publications offer a wide range of information about Flex Program activities, best practices in CAHs, financial, quality, and community measures, and hospital services. Below is a list of publications from the Flex Monitoring Team. Publications are listed chronologically, in descending order. You can search by title and filter by topics and state. For data reports and publications relevant to specific states, please visit our State Profiles.

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Ira Moscovice, Madeleine Pick, Megan Lahr, Nathan Bean, Keelia Silvis
The COVID-19 pandemic has heightened the financial and operational pressures on small rural hospitals, including Critical Access Hospitals (CAHs).…
Laura Bozovich, Kathleen Knocke, George Pink, Ann Howard, Kristin L. Reiter
There is growing evidence to suggest that affiliation with a health system may have important implications for rural hospitals. However, most studies…
Kristin L. Reiter
This Data Summary Report presents state and national median values of the 23 financial indicators included in the Critical Access Hospital…
John Gale, Sara Kahn-Troster, Zach Croll, Nathan First
This brief reports on a qualitative evaluation of State Flex Program interventions conducted under Program Area 2: Financial and Operational…
Savannah Stallings, Ann Howard, George Pink, Kristin L. Reiter
Since 2015, approved users have been able to explore financial performance data for critical access hospitals (CAHs) using the Critical Access…
Sharita R. Thomas, Kristin L. Reiter, George Pink
CAHs are essential to the maintenance of the rural health care core and safety-net of providers for geographically isolated areas. As the operational…
Kathleen Knocke, Kristin L. Reiter, George Pink
Under the Medicare Rural Hospital Flexibility Program, states with Critical Access Hospitals (CAHs) are eligible to receive federal funds to provide…
Savannah Stallings, George Pink, Kristin L. Reiter
Since the Affordable Care Act’s (ACA) enactment of Medicaid expansion in 2014, 36 states have decided to expand Medicaid – 21% of the population is…
Kristin L. Reiter
All hospitals, regardless of size and organizational structure, benefit from comparative data on financial condition and performance. The unique…
Kathleen Knocke, Kristin L. Reiter, George Pink
Under the Medicare Rural Hospital Flexibility Program, states with Critical Access Hospitals (CAHs) are eligible to receive federal funds to support…