Small Rural Hospital and Clinic Finance 101 Guide

This manual was developed for use by state Medicare Rural Hospital Flexibility (Flex) Program personnel as well as staff and boards of small rural hospitals and clinics. The content is designed to be as non-technical as possible and provide answers to frequently asked questions regarding critical access hospital (CAH), small rural hospital and rural health clinic (RHC) finance and financial performance. A few examples of topics include:

  • Government Health Care Reimbursement
  • CAH Finances
  • Improving CAH Financial Performance
  • Prospective Payment System (PPS) Finances
  • RHC Finances


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