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Kristie Weisner Thompson

Biographic Data

ID9108624
NAMEKristie Weisner Thompson
GIVEN NAMESKristie Weisner
FAMILY NAMEThompson
SIGNATURETHOMPSON K W
AFFILIATIONSUniversity of North Carolina at Chapel Hill
VERIFIEDNo
TOTAL WORKS6
TOTAL CITATIONS0
WORKS AS AUTHOR6
WORKS AS EDITOR0
FIRST PUBLICATION YEAR2016
LATEST PUBLICATION YEAR2026
H-INDEX0
  • Fixed‐to‐total cost ratio is predictive of rural hospital financial distress and closures

    Open Access•Saleema A Karim, Kristie Weisner Thompson et al.•ARTICLE•The Journal of Rural Health•2026

    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…

  • Acute Care Utilization in Medicaid Enrollees Differs by Patient Rurality, Race, and Ethnicity

    Hannah Friedman, Kristie Thompson et al.•ARTICLE•Medical Care•2026•References: 30

    BACKGROUND: Few studies have assessed acute care utilization and health care costs among rural Medicaid enrollees in a national sample; fewer still have examined the relationship of health care utilization with different levels of rurality and enrollee race/ethnicity. OBJECTIVES: This study's objective is to compare Medicaid acute care utilization patterns by race/ethnicity and rurality interactions to identify rural populations with higher healt…

  • The impact of the removal of the low‐wage index hospital policy on urban and rural hospitals

    Open Access•Saleema A Karim, Kristie Weisner Thompson et al.•ARTICLE•The Journal of Rural Health•2025

    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 Following a federal court ruling, the Centers for Medicare & Medicaid Services (CMS) rescinded the LWIHP in the FY 2025 Interim Final Rule and introduced a one-time transitional payment adjustment for hospitals experienci…

  • Medicare Advantage and rural hospital profitability

    Open Access•Y Kim, Young H Kim et al.•ARTICLE•The Journal of Rural Health•2025

    PURPOSE: This study compares 2018-2023 Medicare Advantage (MA) days as a percentage of total Medicare days in rural and urban hospitals, describes 2022-2023 operating profitability of rural and urban hospitals by quartiles of MA days as a percentage of total Medicare days, and explores hospital characteristics that may be important for understanding the relationship between MA and profitability of rural hospitals. METHODS: Financial and hospital …

  • Supporting Critical Access Hospital operational and financial improvement through the Medicare Rural Hospital Flexibility Program

    Open Access•Kristin L Reiter, Susie Gurzenda et al.•ARTICLE•The Journal of Rural Health•2023

    The authors have no conflict of interest to disclose

  • The Rising Rate of Rural Hospital Closures

    Open Access•Brystana G Kaufman, Sharita R Thomas et al.•ARTICLE•The Journal of Rural Health•2016

    PURPOSE: Since 2010, the rate of rural hospital closures has increased significantly. This study is a preliminary look at recent closures and a formative step in research to understand the causes and the impact on rural communities. METHODS: The 2009 financial performance and market characteristics of rural hospitals that closed from 2010 through 2014 were compared to rural hospitals that remained open during the same period, stratified by critic…

No prominent works on this page.

  • The Rising Rate of Rural Hospital Closures

    Open Access•Brystana G Kaufman, Sharita R Thomas et al.•ARTICLE•The Journal of Rural Health•2016

    PURPOSE: Since 2010, the rate of rural hospital closures has increased significantly. This study is a preliminary look at recent closures and a formative step in research to understand the causes and the impact on rural communities. METHODS: The 2009 financial performance and market characteristics of rural hospitals that closed from 2010 through 2014 were compared to rural hospitals that remained open during the same period, stratified by critic…

  • Supporting Critical Access Hospital operational and financial improvement through the Medicare Rural Hospital Flexibility Program

    Open Access•Kristin L Reiter, Susie Gurzenda et al.•ARTICLE•The Journal of Rural Health•2023

    The authors have no conflict of interest to disclose

  • The impact of the removal of the low‐wage index hospital policy on urban and rural hospitals

    Open Access•Saleema A Karim, Kristie Weisner Thompson et al.•ARTICLE•The Journal of Rural Health•2025

    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…

  • Medicare Advantage and rural hospital profitability

    Open Access•Y Kim, Young H Kim et al.•ARTICLE•The Journal of Rural Health•2025

    PURPOSE: This study compares 2018-2023 Medicare Advantage (MA) days as a percentage of total Medicare days in rural and urban hospitals, describes 2022-2023 operating profitability of rural and urban hospitals by quartiles of MA days as a percentage of total Medicare days, and explores hospital characteristics that may be important for understanding the relationship between MA and profitability of rural hospitals. METHODS: Financial and hospital …

  • Fixed‐to‐total cost ratio is predictive of rural hospital financial distress and closures

    Open Access•Saleema A Karim, Kristie Weisner Thompson et al.•ARTICLE•The Journal of Rural Health•2026

    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…

  • Acute Care Utilization in Medicaid Enrollees Differs by Patient Rurality, Race, and Ethnicity

    Hannah Friedman, Kristie Thompson et al.•ARTICLE•Medical Care•2026•References: 30

    BACKGROUND: Few studies have assessed acute care utilization and health care costs among rural Medicaid enrollees in a national sample; fewer still have examined the relationship of health care utilization with different levels of rurality and enrollee race/ethnicity. OBJECTIVES: This study's objective is to compare Medicaid acute care utilization patterns by race/ethnicity and rurality interactions to identify rural populations with higher healt…

Healthcare Policy and Management (6 works) · Global Health Workforce Issues (4 works) · Health care (4 works) · Primary Care and Health Outcomes (4 works) · Business (3 works) · Finance (3 works) · Medicine (3 works) · Rural health (3 works) · Economics (2 works) · Medicaid (2 works)

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