Ohio rural hospitals face financial woes

Unsustainably high costs, combined with decreased federal reimbursements, have facilities operating in the red
Associated Press
Jul 13, 2014

Rural hospitals across Ohio face financial straits worse than their urban counterparts as expenses rise and health care reimbursements decline.

A January snapshot by iVantage Health Analytics found hospitals in the state's metropolitan counties were running slightly in the black, while those in non-metro counties — often the largest employers — showed narrow losses, The Columbus Dispatch reported Sunday (http://bit.ly/1sPvt52).

Four years ago, struggling hospitals in Washington Court House and Logan closed their maternity units. More recently, hospitals in Chillicothe and Zanesville saw their bond ratings downgraded. Hospital workers in Gallipolis face possible layoffs later this year, while OhioHealth announced this week it will close its inpatient hospital in Nelsonville before 2015.

The hospital's 24-hour emergency department will remain open until the completion of a new outpatient center, which will house urgent-care services.

"I hate to see us lose the 24-hour emergency room. If someone is injured here locally ... it's certainly more convenient to go a mile or two than go 14 or 15 miles to Logan or Athens," Nelsonville City Manager Mark Hall told the newspaper. The city's population is about 5,400. "There was a certain amount of pride that a city of our size was able to hang on as long as we did to the facility."

At issue are the unsustainably high costs of the U.S. health care system, which have been coupled by decreased federal government reimbursements.

Brock Slabach, senior vice president of the National Rural Health Association, said the challenges at rural hospitals are in some ways unique because they have trouble recruiting health care professionals while serving a population that's often older, sicker and poorer.

"We live on a thinner margin to begin with because we're not bolstered by a larger population of commercial payers," said Scott Cantley, CEO of Memorial Health System in Marietta, which has employed half a dozen consultants to help it become leaner.

Rural hospitals can no longer be all things for all people, their leaders say, as evidenced by the fact that 23 Ohio counties no longer have a hospital that delivers babies.

The federal Affordable Care Act has begun to address the costs of the uninsured and could also cut into charity-care costs, the newspaper reported — particularly in states such as Ohio that have expanded Medicaid. For many hospitals, including those in rural areas, the Medicaid expansion will help make ends meet in light of other cuts in government health care payments.

But Slabach said private carriers that sell insurance through the act's new government-run marketplaces often limit plan participants to narrow networks of providers that often exclude small hospitals.


The Big Dog's back

They have to pay for all of those free riding right wingers.

Bottom Line

Calling right wingers free riders? Hi kettle, this is the pot. You're black.

People as dumb as you honestly shouldn't be allowed to post. Constant blabbering with no facts, evidence or statistics whatsoever. Always. And whenever anyone asks you to support your outrageous claims with any of the above, since obviously you can't, you just sidestep it and call them a right wingnut. Please stop.

You're so stupid and desperate you'll probably accuse my comment of being racist.


Quoted incorrectly


Bottom Feeder-

You wont be accused of being intelligent , that's for sure , you dumbass.

Bottom Line

Jazzbo, as unlikely as it is, your comments are actually far more useless than Dog's. You are a leech. A parasite. You've never once posted an independent thought of your own. Obviously because you don't have one. Ever. All you ever do is make snide tidbit comments like a 9 year old to posters who actually have functioning brains and intellect.

I dare you to prove me wrong. Make a post longer than one sentence other than calling someone a name. Take an actual stand on just one topic using specific examples or actual facts. As opposed to attacking intelligent people for saying things that you WISH weren't true. But almost always are.

As delusional as posters like dog and deer consistently are, you actually make then look fairly intelligent. No easy task, indeed.


You think that many words are a sign of intelligence.
It only takes a few words to refute clowns like you.

Don't like my posts ? I don't care.

You think you're pretty hot stuff ? You are a nobody.

Bottom Feeder-- what do you think of Darwins choice post below ?

Bottom Line

Yeah you sure showed me!

Way to add in that one extra sentence to your original post. One or two more and you're flirting with a paragraph. I'm sure you'll sleep good tonight.

In all honesty I should probably go easy on someone who's not quite fit to qualify for the special Olympics.


Give me your best shot because you are self - important nobody.

Bottom Line


You do deserve an answer to your question. I do NOT think that having liberal views in general makes someone a waste of oxygen. However, I do think anyone who vehemently defends this particular POTUS, who has redefined lying and hypocrisy, certainly including but not limited to his failing healthcare system, time after time is a waste of oxygen. I think anyone who defends the actions of, and who wants to appease illegal aliens, which are the reason so many hospitals in border counties are struggling to operate, is a a waste of oxygen. Anyone who falls into those categories is contributing to the downfall of this once great nation. So yes they are a waste of oxygen. Precisely.


I thought you would say something stupid and you didn't let me down.

This once great nation is being destroyed by people with minds like yours -- but you are dumber.

The Big Dog's back

jazzbo, bottom feeder's posts are nothing but derogatory and he has the nerve to criticize someone else's post? I stand by my original post.


No doubt.
He's just another nasty , evil, ignorant , hate-filled , rightwing poster .

Darwin's choice

No, it's all the old fat azzes like, you, who by defecient life choices, have to have outrageously expensive surgery to keep your dumbazz's alive. You're a waste of oxygen. You had been given a second chance at life, and true to azzhole form, you continue your decadent lifestyle. Maybe a chemical intake reaction will finish you off.



Darwin , you should have your teeth punched out.


What teeth? Those are dentures. He needs to take them out and put them in some acid! Very nasty!


From eating turds , Im sure.

Darwin's choice

You too sissy!

Darwin's choice

I'll be your huckleberry, sissy! I'd love to give you idiots a chance to use your hospital coverage, maybe you can get that lobotomy you sorely need.


The Big Dog's back

In your case you would have to even have a brain to do a lobotomy.

Darwin's choice

Maybe you should take up jogging fatazz, try out the new plumbing. See if it was a waste of money.



Darwin / turd


@dog.... A first time reader would say that your comment was simply moronic... Until they read your other comments and could put it into perspective...

But even I have to say that this post is a standout... You have struck a high note in the symphony of libtard lunacy.


..And feel free to take tomorrow off from posting.


When I think you cant be any stupider, you never seem to disappoint. Do you even realize how dumb you sound? Illegals alone cost $11 billion year. You know, those people you libs want invading and sucking our country dry!


And being the vast majority of Medicaid recipients are democrats, how do you come up with you lame comment?



Re: "Medicaid recipients"

And since the feds are squeezing health care reimbursement payments, an increasing number of private providers are refusing to see new or existing Medicaid and even Medicare patients.

Remember: The V.H.A. is the model for the socialists desire for single payer.

The V.H.A.? "What’s behind this success?"

Let lefty economist Paul Krugman tell ya:



LOL you really need to quit sniffing glue. If you look at the graph it was by individual persons not by state. Just because its a red state doesn't mean there isn't any democrats!! Nice try on the spin though.


So only the Dems in the red states receive stamps? Nice try wrong guy!


Good lord cant you read? That's not what I stated, but we all know you libs will always spin like a top taking only snippets of comments to justify your lame point of view.


Re: "Dems in the red states receive stamps?"

Off-topic blather.

The Big Dog's back

The only 2 I see spinning anything are deuce pooh and his sidekick.