Oregon's regional rural hospitals

Measure the regional role.
Build the right support.

Start with the care a region depends on. Compare possible funding and payment designs. Count the additional resources a hospital would retain—and when.

The proposed designation, Systemically Important Rural Hospital, asks how Oregon could recognize that role in payment policy. It is a proposal, not current law.

See how the designs will be compared

Illustrative architecture and landscape.

Every option has to answer three questions.

  1. Who qualifies? Open decision An objective hospital class still needs to be defined.
  2. What payment follows? Open decision A payment method still needs to be chosen. None has been selected.
  3. Where does the lawful money come from? Open decision A lawful source must be identified, reviewed and made available.

A designation alone pays nothing. A funded proposal also needs a lawful source of money, a defined payment method, a plan for existing supplemental payments and an implementation plan.

How the money moves

A simplified picture of how Oregon Medicaid money reaches a hospital today, kept separate from the decisions a proposal would still have to make.

See the visual explainer

Go deeper

Hospital funding. Public policy. Access to care.

Decisions about Oregon’s rural hospitals connect funding, public policy, governance, and the care communities need. This project brings those questions into one place, with an emphasis on clear explanations, source documents, and the choices that require further work.

Public facts link to their original sources. Analysis and project positions are labeled, and what is not yet known is said plainly. A reference to a hospital describes public information; it does not mean the hospital has joined this project or endorsed it.

Project position. The project excludes taking existing CCO resources or education money, reducing Oregon Health Plan services, or financing support through cuts to frontline pay and jobs.

Pathway diagram