Caitlin Carroll

Assistant Professor @UMN. PhD @Harvard.

[UMN School of Public Health @PublicHealthUMN]

“The financial viability of our rural hospitals is declining,” says lead author and SPH Assistant Professor @c_e_carroll.

@Health_Affairs @UMNRHRC

https://t.co/diZLMcqMUv

[Maya Rossin-Slater @maya_rossin]

Marika Cabral & I are organizing another virtual mentoring workshop for 3rd+ yr women/non-binary PhD students in health economics/health policy on Sep 29, 2023. To apply please fill out this form: https://t.co/A2svP99tH9 AND send 1-page proposal & CV to [email protected].

[Health Affairs @Health_Affairs]

Exploring the fate of unprofitable #RuralHospitals, @UMN's @c_e_carroll + coauthors find that 77% remained open during 2010–18, whereas 7% closed, 4% merged w/ another hospital in the same market & 13% merged w/ another hospital in a different market. #NationalPublicHealthWeek

[Caitlin Carroll @c_e_carroll]

With persistent financial distress among rural hospitals and continued consolidation, it’s important to think about how policy can support care in rural areas. Financial support to preserve access may need to be paired with regulation to address market power concerns.

[Caitlin Carroll @c_e_carroll]

Thanks to @alanrweil and @Health_Affairs for discussing our paper on #AHealthPodyssey!

We study what happens to unprofitable rural hospitals – do they close, merge, or return to profitability?

With @Michael_Chernew, @ndbeaulieu10 and Rhi Euhus

A short 🧵

[Health Affairs @Health_Affairs]

NEW #AHealthPodyssey episode: @Health_Affairs' Editor-in-Chief @alanrweil interviews @c_e_carroll of @UMN on her recently-published paper examining hospital survival in rural markets with a particular focus on hospitals in financial distress. https://t.co/QhzOjRjiTz

[Caitlin Carroll @c_e_carroll]

At the market level, about 20% of markets served by unprofitable hospitals lost a competitor to closure or within-market merger. Out-of-market mergers affected about 30% of markets with unprofitable hospitals.

[Michael Chernew @Michael_Chernew]

Supporting high quality, affordable care in rural areas is immensely important. Working w/ Rhi, @ndbeaulieu10, and @c_e_carroll is wonderful, but this is just a beginning. Many empirical & policy issues remain. For starters: what are best payment models and regulatory regimes

[HMS HCP @HMSHCP]

Study in @Health_Affairs by Associate Professor Caitlin Carroll, PhD Rhiannon Euhus, Nancy Beaulieu, PhD and @Michael_Chernew investigates the the closures and mergers of rural hospitals
Read about it here: https://t.co/iVrHwzE9h7

[Health Affairs @Health_Affairs]

Exploring the fate of unprofitable rural hospitals, @c_e_carroll of @UMN + coauthors find that 77% remained open during 2010–18, whereas 7% closed, 4% merged w/ another hospital in the same market, and 13% merged w/ another hospital in a different market. #RuralHospitals

[Frank S. David @Frank_S_David]

Not entirely surprising, but WOW: immuno-onc pretty much hit peak adoption within 2y. https://t.co/ZGm1tAyQUv by @c_e_carroll @Mblandrum Alexi Wright & @NancyKeatingMD

For context, @SethRobey & I found median drug takes ~7y post-launch to hit peak (https://t.co/5H1i0aAwJC).

[Paula Chatterjee @ChatterjeePaula]

They also highlight a really fantastic piece by @c_e_carroll @Arrianna_Planey @Katybkoz that describes the evolving complexity of rural health care markets (consolidation, bypass behaviors, and more).

I learned a ton reading it.

https://t.co/QmxAwXZcOv

[Paula Chatterjee @ChatterjeePaula]

Thanks to @AcademyHealth and @JHospMedicine for spotlighting some recent work on rural hospital closures.

They contextualize:

1) ⬇️ economic trends in areas where rural hospitals eventually close

2) Role of bystander hospitals that remain open after closures occur

[Caitlin Carroll @c_e_carroll]

@sherrirose Congratulations, Sherri!

[Caitlin Carroll @c_e_carroll]

We also highlight papers on rural hospitals by @ChatterjeePaula, @atheendar, @thomas_hegland, Hannah Friedman, @gmarkholmes in the October issue of HSR. Check them out!

[Caitlin Carroll @c_e_carroll]

Thanks to @AcademyHealth for highlighting our commentary on rural hospitals!

https://t.co/cCZHLmA32v

With @Arrianna_Planey and @katybkoz. @HSR_HRET

[AcademyHealth @AcademyHealth]

Read the plain language summary reviewing research published in @HSR_HRET on the present and future of rural America’s hospitals.

From former AcademyHealth public policy fellow @KaleighLigus: https://t.co/xJIZM6AN4r

[Caitlin Carroll @c_e_carroll]

Second, how should we pay for rural hospital care, when maintaining services is valuable?

Many rural hospitals get cost-based reimbursement (CAHs), but there are new models in the works. Rural Emergency Hospitals, for ex, will get lump sum payments, plus a fee for each patient.