By increasing the number of people with health insurance, the Medicaid expansion directly benefitted rural hospitals.
In states that expanded Medicaid, “we saw two important trends — reduction in uncompensated charity care and a reduction in the number, or the velocity, of the rural hospital closures,” Dr. Daniel Derksen, director of the Arizona Center for Rural Health, told Healthline.
Nineteen states, though, opted not to expand Medicaid. In those states, the suffering among rural hospitals is palpable.
The Chartis report found that Mississippi, Louisiana, Georgia, and Texas all have particularly high rates of vulnerable rural hospitals. At the time the report was released, none of those states had expanded Medicaid.
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