New Report Released: Financial Performance of Rural and Urban Hospitals in Medicare Shared Savings Program

Financial Performance of Rural and Urban Hospitals in the Medicare Shared Savings Program

Huang Huang, PhD; Xi Zhu, PhD; Fred Ullrich, BA; A. Clinton MacKinney, MD, MS; Keith Mueller, PhD

This brief presents financial performance trends of hospitals who participated in Medicare’s Shared Savings Program (SSP) from 2011 to 2018. Trends in six financial outcomes are compared between SSP and non-SSP hospitals over time and between rural and urban hospitals.

Key Findings:

• Hospitals participating in the SSP had, on average, higher outpatient revenue, higher inpatient revenue, higher net patient revenue, higher operating margins, lower inpatient revenue share, and higher Medicare revenue share at the baseline year 2011 and throughout the study period.
• Compared to their respective non-SSP counterparts, rural SSP hospitals experienced a higher percentage increase in outpatient revenue than urban SSP hospitals.
• Rural hospitals participating in SSP experienced higher increases in inpatient revenue and net patient revenue than rural hospitals not participating in SSP. In contrast, urban hospitals participating in SSP experienced lower increases in these measures than urban hospitals not participating in SSP.

Access the report here.

Additional Report:

• Impact of Medicare Shared Savings Program Participation on Hospital Financial Performance: An Event-Study Analysis – (2022) Health Services Research, 58(1); 116-127.

Contact Information:

Keith J. Mueller, PhD;

ke***********@ui***.edu












Director, RUPRI Center for Rural Health Policy Analysis
University of Iowa College of Public Health
Office: 1.319.384.3832

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