Harold Miller

President and CEO, Center for Healthcare Quality and Payment Reform

[Harold Miller @HaroldDMiller]

More than 120 rural hospitals have stopped delivering babies since 2020, a 12% reduction in the # of rural obstetric units in the U.S., and an average of 2 closures per month. State-by-state counts, casues and solutions are in this report: https://t.co/c60NB8a0OO

[Harold Miller @HaroldDMiller]

Over 100 #ruralhospitals stopped delivering babies in the past 5 years - 2 closures per month on average. Most #rural communities no longer have #maternitycare. Why? #Medicaid & commercial health plans aren’t paying enough to cover the cost. #ruralhealth https://t.co/c60NB8a0OO

[Harold Miller @HaroldDMiller]

@medpagetoday explains why #ruralhospitals and #rural #maternity care units are closing, and why the "Rural Emergency Hospital" program isn't a solution. Private insurance plans need to pay adequately for #ruralhealth services. https://t.co/Drwa8FPSNB @joycefr

[Harold Miller @HaroldDMiller]

Why are so many #ruralhospitals closing? And what should be done to preserve access to #rural #healthcare services? The real causes of the problem and the solutions needed are explained in this article and webinar from @PennLDI https://t.co/OjQLmeb5hN #ruralhealth

[Harold Miller @HaroldDMiller]

#ruralhospitals #ruralhealth #ruralhealthcare #maternitycare

[Penn LDI @PennLDI]

Policymakers have tried many payment approaches to stabilize the finances of rural hospitals & bolster patient access to health care in rural areas, but challenges persist.

Join us April 19 for our virtual panel discussion on improving rural health care.
https://t.co/jFb2EMBxTn

[Health Exec @HlthExec]

‘It is not an exaggeration to say that #rural #maternitycare is in a state of crisis, and a crisis demands immediate action.’ @PaymentReform @HaroldDMiller https://t.co/33drxQ0Um5

[Harold Miller @HaroldDMiller]

Maternal & infant mortality will continue to increase if we allow more #rural communities to lose #maternitycare services. Private health plans & #Medicaid programs need to pay #ruralhospitals enough to attract & retain OB physicians, OB nurses, & midwives in #rural areas.

[JAMA @JAMA_current]

More than half of rural hospitals in the US no longer offer birthing services. @SammyAnderer reports on solutions for the rural maternity care crisis. https://t.co/kSASBhhgCp #MedicalNews

[Lawrence Phillips @LPhillipsMD]

Packed house at the #ACCCVSummit and started with a bang with a fantastic opening plenary by @HaroldDMiller @PaymentReform on flipping the script on quality patient care and how care should be paid for in the future.

[Harold Miller @HaroldDMiller]

One of the hidden causes of the #maternitycare crisis is the inadequate payments for midwives, birth centers, & #ruralhospitals from #Medicaid and commercial insurance plans. @birthbundler & @doccrearperry speak out about the problem in @StarTribune https://t.co/iiNmJgifL1

[Harold Miller @HaroldDMiller]

There is a growing crisis in #rural #maternity care. Immediate actions are needed to address the serious workforce and payment challenges facing small #ruralhospitals that deliver #maternitycare. The causes and solutions are described in this new report: https://t.co/c60NB8a0OO

[Harold Miller @HaroldDMiller]

@NBCNightlyNews & @SamBrockNBC shine a much-needed light on how #MedicareAdvantage plans are forcing #ruralhospitals to close & hurting #rural communities. More details are in this story https://t.co/oiHncJkTYO by @gmorgenson. Solutions are here: https://t.co/HPXHJLSCZ5

[NBC Nightly News with Tom Llamas @NBCNightlyNews]

Medicare Advantage plans are a private alternative to traditional Medicare and are often cheaper and promise better benefits.

But the CEOs of some rural hospital systems say it routinely denies reimbursements for necessary care.

@SamBrocknbc reports: https://t.co/uP2gq5dQ8d

[Harold Miller @HaroldDMiller]

@NBCNews & @gmorgenson show how #MedicareAdvantage plans are forcing #ruralhospitals to close and making it hard for senior citizens in #rural areas to get #healthcare services. Congress and @CMSGov need to fix this problem ASAP. https://t.co/oiHncJkTYO

[Harold Miller @HaroldDMiller]

Many #ruralhospitals in Kentucky and other states are at risk of closing. @KET explains the reasons why and what needs to be done to preserve access to essential #healthcare services in #rural communities. https://t.co/JPfGvTYtB4 @SaveRuralHospitals @PaymentReform

[Harold Miller @HaroldDMiller]

Patients, physicians, and hospitals are being harmed by inadequate payments and claims denials by Medicare Advantage plans. Congress & @CMSGov need to fix this before more small #ruralhospitals are forced to close. https://t.co/NzoAEATvWf

[Harold Miller @HaroldDMiller]

A #ruralhospital shouldn't have to beg for donations to avoid closing when the problem is caused by health insurance companies paying less than it costs to deliver essential services in #rural communities.
https://t.co/rdtV66cOVE @KristinaMFiore @medpagetoday @Save_RuralHosps

[Harold Miller @HaroldDMiller]

Hundreds of small #rural communities across the US could soon be facing what Berwick PA has faced as more #ruralhospitals are being forced to close. @kmamula1 & the @PittsburghPG describe the impacts here: https://t.co/JDtHjuUhbX and here https://t.co/IW6kcGaqSw #ruralhealth

[Harold Miller @HaroldDMiller]

Medicare Advantage plans are making it more likely that #ruralhospitals will close. It won't do seniors much good to have zero-premium insurance if there's nowhere to use it. #ruralhealth #rural https://t.co/g6J8UeBPrx @arielle_amara @axios

[Harold Miller @HaroldDMiller]

Thanks to
@ChrisRongey
, @AmyMarxkors , &
@kmoxnews
for raising awareness that many #ruralhospitals in Missouri could be forced to close due to inadequate payments from health insurance plans. Get more information about the problem & solutions at https://t.co/4zrzyNourr #rural

[Chris & Amy on KMOX @ChrisAmyKMOX]

Welcome back to the start of another week with us, @ChrisRongey & @AmyMarxkors on @kmoxnews:

10:30 Ellen Carnaghan
11:30 @MattPauleyOnAir
12:30 @HaroldDMiller

📻: 98.7FM/1120AM
📱: @Audacy app
💻: https://t.co/ysCZQe0nbv

[Harold Miller @HaroldDMiller]

One-third of Missouri’s #ruralhospitals at risk of closure, new data shows https://t.co/NleT6uRZwD via @MO_Independent @clarabatess #ruralhospital #ruralhealth #rural #healthequity

[Harold Miller @HaroldDMiller]

True value-based care will only be possible when all the expensive, meddling middlemen are gone, so physicians can deliver the care patients need & be paid adequately by the true purchasers of healthcare (both employers and patients). #VBHC https://t.co/VQ1CBDYqF0 @lizzymitch2