Letter: North Dakota’s small hospitals rely on Medicaid reimbursement

Letter: North Dakota’s small hospitals rely on Medicaid reimbursement

There are 37 Critical Access Hospitals (CAHs) in the state of North Dakota. The CAH designation is designed to reduce the financial vulnerability of rural hospitals and improve access to health care by keeping essential services in rural communities. It is not uncommon for small rural hospitals to operate on margins of less than 1%, and nearly 50% of rural hospitals across the country operate in the red. New research from Chartis, a research ins…