Saleema A Karim
Biographic Data
| ID | 8924673 |
|---|---|
| NAME | Saleema A Karim |
| GIVEN NAMES | Saleema A |
| FAMILY NAME | Karim |
| SIGNATURE | KARIM S A |
| AFFILIATIONS | Department of Health Administration College of Health Professions Virginia Commonwealth University Richmond Virginia USA |
| ORCID | 0000-0002-8946-9897 |
| VERIFIED | Yes |
| TOTAL WORKS | 7 |
| TOTAL CITATIONS | 0 |
| WORKS AS AUTHOR | 7 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2021 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Fixed‐to‐total cost ratio is predictive of rural hospital financial distress and closures
PURPOSE: Cost structure, the proportion of fixed-to-total costs, plays a central role in rural hospital financial viability. Rural hospitals face unique challenges due to low volumes and limited flexibility in reducing fixed costs. This study evaluated variation in cost structures across rural hospital categories and assessed whether fixed-to-total cost ratios are associated with financial distress and closure. METHODS: We analyzed 2394 rural hos…
The impact of the removal of the low‐wage index hospital policy on urban and rural hospitals
PURPOSE: The low-wage index hospital policy (LWIHP), implemented in fiscal year (FY) 2020, temporarily increased Medicare wage index values for hospitals in the lowest quartile to address geographic differences in reimbursement. Following a federal court ruling, the Centers for Medicare & Medicaid Services (CMS) rescinded the LWIHP in the FY 2025 Interim Final Rule and introduced a one-time transitional payment adjustment for hospitals experienci…
Financial resilience of rural hospitals
PURPOSE: Rural hospitals struggling with prepandemic financial instability faced heightened challenges during COVID-19. While Provider Relief Funds (PRFs) offered essential support, their impact varied, highlighting the need to examine how prepandemic financial health influenced rural hospitals' financial performance during the pandemic. This study evaluates PRF's role across three hospital categories: financially strained (low operating margin),…
Exploring telehealth adoption and financial outcomes for rural hospitals during the Covid‐19 public health emergency
PURPOSE: To examine factors associated with rural hospital telehealth adoption during the COVID-19 public health emergency (PHE), and evaluate its relationship with rural hospital financial performance before and during the PHE. METHODS: This panel study used retrospective data (2017-2021) from the American Hospital Association Annual Survey, the Centers for Medicare & Medicaid Services Healthcare Cost Report Information Systems, and the Area Hea…
Community social vulnerability and the 340B Drug Pricing Program
PURPOSE: The federal 340B Drug Pricing Program allows eligible hospitals, including critical access hospitals (CAHs), to obtain outpatient drugs at a discounted rate. CAHs likely benefit from 340B participation because they are often under-resourced and serve at-risk patient populations. The objective of this study was to understand predictors of 340B program participation among CAHs, and how participation varies with community-level social vulne…
Rural–urban disparities in the incidence and treatment intensity of periodontal disease among patients with diabetes
Background: Diabetes threatens population health, especially in rural areas. Diabetes and periodontal diseases have a bidirectional relationship. A persistence of rural-urban disparities in diabetes may indicate a rural-urban difference in periodontal disease among patients with diabetes; however, the evidence is lacking. This retrospective study aimed to investigate rural-urban discrepancies in the incidence and treatment intensity of periodonta…
Deaths From Covid‐19 in Rural, Micropolitan, and Metropolitan Areas
PURPOSE: The United States has experienced a surge of COVID-19 cases and deaths. Regardless of the overall increase in the prevalence and mortality, there are disagreements about the consequences of exposure and contracting COVID-19, specifically in rural areas. Rural areas have inherent characteristics that increase their vulnerability to contracting COVID-19. The objective of this study was to investigate the differences in death rates from COV…
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Deaths From Covid‐19 in Rural, Micropolitan, and Metropolitan Areas
PURPOSE: The United States has experienced a surge of COVID-19 cases and deaths. Regardless of the overall increase in the prevalence and mortality, there are disagreements about the consequences of exposure and contracting COVID-19, specifically in rural areas. Rural areas have inherent characteristics that increase their vulnerability to contracting COVID-19. The objective of this study was to investigate the differences in death rates from COV…
Rural–urban disparities in the incidence and treatment intensity of periodontal disease among patients with diabetes
Background: Diabetes threatens population health, especially in rural areas. Diabetes and periodontal diseases have a bidirectional relationship. A persistence of rural-urban disparities in diabetes may indicate a rural-urban difference in periodontal disease among patients with diabetes; however, the evidence is lacking. This retrospective study aimed to investigate rural-urban discrepancies in the incidence and treatment intensity of periodonta…
Community social vulnerability and the 340B Drug Pricing Program
PURPOSE: The federal 340B Drug Pricing Program allows eligible hospitals, including critical access hospitals (CAHs), to obtain outpatient drugs at a discounted rate. CAHs likely benefit from 340B participation because they are often under-resourced and serve at-risk patient populations. The objective of this study was to understand predictors of 340B program participation among CAHs, and how participation varies with community-level social vulne…
The impact of the removal of the low‐wage index hospital policy on urban and rural hospitals
PURPOSE: The low-wage index hospital policy (LWIHP), implemented in fiscal year (FY) 2020, temporarily increased Medicare wage index values for hospitals in the lowest quartile to address geographic differences in reimbursement. Following a federal court ruling, the Centers for Medicare & Medicaid Services (CMS) rescinded the LWIHP in the FY 2025 Interim Final Rule and introduced a one-time transitional payment adjustment for hospitals experienci…
Financial resilience of rural hospitals
PURPOSE: Rural hospitals struggling with prepandemic financial instability faced heightened challenges during COVID-19. While Provider Relief Funds (PRFs) offered essential support, their impact varied, highlighting the need to examine how prepandemic financial health influenced rural hospitals' financial performance during the pandemic. This study evaluates PRF's role across three hospital categories: financially strained (low operating margin),…
Exploring telehealth adoption and financial outcomes for rural hospitals during the Covid‐19 public health emergency
PURPOSE: To examine factors associated with rural hospital telehealth adoption during the COVID-19 public health emergency (PHE), and evaluate its relationship with rural hospital financial performance before and during the PHE. METHODS: This panel study used retrospective data (2017-2021) from the American Hospital Association Annual Survey, the Centers for Medicare & Medicaid Services Healthcare Cost Report Information Systems, and the Area Hea…
Fixed‐to‐total cost ratio is predictive of rural hospital financial distress and closures
PURPOSE: Cost structure, the proportion of fixed-to-total costs, plays a central role in rural hospital financial viability. Rural hospitals face unique challenges due to low volumes and limited flexibility in reducing fixed costs. This study evaluated variation in cost structures across rural hospital categories and assessed whether fixed-to-total cost ratios are associated with financial distress and closure. METHODS: We analyzed 2394 rural hos…
Medicine (5 works) · Rural area (5 works) · Environmental health (4 works) · Healthcare Policy and Management (4 works) · Business (3 works) · Demography (2 works) · Disease (2 works) · Global Health Workforce Issues (2 works) · Health care (2 works) · Internal Medicine (2 works)