Long-Term Care Hospitals (LTCHs) provide hospital care to individuals with complex medical conditions that require longer duration (in excess of 25 days on average) inpatient care.  LTCHs are important components of the hospital infrastructure that serves the needs of over 62 million Americans with Medicare Part A long-term care coverage.  As of the calendar year 2020, there were 347 LTCHs, with over 23,700 beds, participating in the Medicare program.

In the calendar year 2020, the seven-state Great Plains region of the U.S. was home to 22 LTCHs, with 1,185 beds, that participated in the Medicare program.  The region was, generally speaking, under-served by long-term care hospital beds as its share (6.6%) of the Medicare Part A enrollment population exceeded its share (5.0%) of Medicare LTCH bed capacity by a wide margin.  Here is a closer examination of Medicare long-term care hospital beds in the Great Plains region:

Medicare Long-Term Care Hospital Beds in the Great Plains Region

Area	# Part A Enrollees		# Hospitals	# Beds
IA	637,145		2	80
KS	545,607		3	144
MN	1,045,280		2	346
MO	1,246,928		8	315
NE	353,434		4	204
ND	133,840		2	72
SD	180,149		1	24
Region	4,142,384		22	1,185
National*	62,498,751		347	23,748
% of National	6.6%		6.3%	5.0%

* National totals include U.S. territories

Data Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions, and Other, the Calendar Year 2020

The U.S. recorded over 602,300 deaths in 2020 that were attributable to cancer.  The seven-state Great Plains region accounted for 41,272 of those cancer deaths in 2020.   At  192.1 cancer deaths per 100,000 population, the region had the fourth-highest regional cancer death rate in 2020.  As seen throughout the U.S., the cancer death rate for women in the Great Plains region was modestly lower than the male rate.  That said, the cancer death rate for both men and women in the region was higher than the national average for each respective gender. Further study of data from the National Center for Health Statistics produces the following details about male vs. female cancer death rates in the Great Plains region:

Male vs. Female Cancer Death Rates in the Great Plains Region

	Deaths	Population	Death Rate*
Regionwide	41,272	21,481,834	192.1
Male	21,723	10,673,839	203.5
Female	19,549	10,807,995	180.9
Nationwide	602,350	329,484,123	182.8
Male	317,731	162,256,202	195.8
Female	284,619	167,227,921	170.2

(*) number of cancer deaths per 100,000 population

Report Period: 2020

States in Region:  Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and South Dakota

Source: CDC Wonder. Centers for Disease Control and Prevention, National Center for Health Statistics. Underlying Cause of Death 1999-2020 on CDC WONDER Online Database, released in 2021. Data are from the Multiple Cause of Death Files, 1999-2020, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed on February 18, 2023

In the five-state Rocky Mountain region of the U.S., heart disease accounted for 19,063 deaths in 2020.  Relative to population size, at 151.9 deaths per 100,000 population, the heart disease death rate in the region was more than 28% below the national average.  Statistically, this gave the Rocky Mountain region the lowest regional heart disease death rate in the U.S. in 2020.  However, in a pattern seen elsewhere in the U.S., there was a wide disparity in the region between heart disease death rates in urban and rural populations.  Heart disease death rates in populations in the Rocky Mountain region's larger metro areas were materially lower than in smaller communities and rural areas of the region.  A deeper look at data from the CDC's National Center for Health Statistics (NCHS) yields the following details about urban vs. rural heart disease death rates in the Rocky Mountain region:

Urban vs. Rural Heart Disease Death Rates in the Rocky Mountain Region

County Classification	Deaths	Population	Death Rate*
Large Central Metro	2,448	1,901,055	128.8
Large Fringe Metro	2,892	2,330,205	124.1
Medium Metro	5,212	3,900,314	133.6
Small Metro	3,233	1,669,221	193.7
Micropolitan (Nonmetro)	2,621	1,616,653	162.1
NonCore (Nonmetro)	2,657	1,129,968	235.1
Region	19,063	12,547,416	151.9
Nationally	696,962	329,484,123	211.5

(*) number of heart disease deaths per 100,000 population

Report Period: 2020

States in region:  Colorado, Idaho, Montana, Utah, and Wyoming

See the 2013 NCHS Urban-Rural Classification Scheme for additional information on population categories, including a map of which U.S. counties fall in which categories.

Source: CDC Wonder. Centers for Disease Control and Prevention, National Center for Health Statistics. Underlying Cause of Death 1999-2020 on CDC WONDER Online Database, released in 2021. Data are from the Multiple Cause of Death Files, 1999-2020, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed on February 18, 2023

Rehabilitation hospitals are integral parts of the hospital network that serves the needs of more than 62 million Americans with Medicare Part A insurance coverage.  Of the more than 6,200 hospitals participating in the Medicare program as of the calendar year 2020, rehabilitation hospitals accounted for about 5% of all hospitals and about 2.1% of the hospital bed capacity.

In the calendar year 2020, the Mid-East region of the U.S., which includes the District of Columbia and five states, was home to 32 rehabilitation hospitals, with about 2,750 beds, that were participating in the Medicare program.  As such, the region was home to about 15% of the nation's Medicare Part A enrollees and 14.1% of the program's rehabilitation hospital bed capacity.  A closer look at the data tells us the following about Medicare rehabilitation hospital beds in the U.S. Mid-East region:

Medicare Rehabilitation Hospital Beds in the U.S. Mid-East Region

Area	# Part A Enrollees		# Hospitals	# Beds
DE	214,919		2	74
DC	92,795		1	137
MD	1,056,328		2	151
NJ	1,622,244		8	794
NY	3,652,873		1	150
PA	2,765,923		18	1,446
Region	9,405,082		32	2,752
National*	62,498,751		314	19,481
% of National	15.0%		10.2%	14.1%

* National totals include U.S. territories

Data Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions, and Other, the Calendar Year 2020

Psychiatric hospitals make up an important part of the hospital system serving the mental health needs of more than 62 million Americans with Medicare Part A insurance coverage.  As of the calendar year 2020 about 9.9% of the 6,200 plus hospitals that participated in the Medicare program were psychiatric hospitals.  And those psychiatric hospitals represented about 6.6% of the Medicare program's total hospital bed capacity.

In the calendar year 2020, the six-state New England region was home to 33 psychiatric hospitals, with more than 3,600 beds, that were participating in the Medicare program.  Most Medicare enrollees in New England are well served for psychiatric hospital bed capacity.  Although the region is home to just under 5% of the nation's Medicare Part A enrollees, New England states hold 6% of the program's psychiatric hospital bed capacity.  Here is a state-level look at Medicare psychiatric hospital beds in New England:

Medicare Psychiatric Hospital Beds in New England

	# Part A Enrollees		# Hospitals	# Beds
CT	689,967		6	747
MA	1,351,220		17	1,811
ME	345,665		4	392
NH	307,435		2	341
RI	222,702		2	203
VT	151,220		2	174
Region	3,068,210		33	3,668
National*	62,498,751		613	61,129
% of National	4.9%		5.4%	6.0%

* National totals include U.S. territories

Data Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions, and Other, the Calendar Year 2020

Cancer accounted for nearly 172,000 deaths in the twelve-state Southeastern U.S. in 2020.  The region's cancer death rate of 201.0 deaths per 100,000 population was, relative to the size of its population, almost 10% above the national average.  As a whole, the Southeastern U.S. had the second-worst regional cancer death rate in the nation in 2020.  Among men in the Southeastern U.S., the cancer death rate was nearly 22% higher than it was for women in the region.  Moreover, both genders in the region registered higher cancer death rates than the national average for their respective gender.  Further examination of data from the National Center for Health Statistics (NCHS) reveals the following about male vs. female cancer death rates in the Southeastern U.S.:

Male vs. Female Cancer Death Rates in the Southeastern U.S.

	Deaths	Population	Death Rate*
Regionwide	171,979	85,565,785	201.0
Male	92,308	41,736,692	221.2
Female	79,671	43,829,093	181.8
Nationwide	602,350	329,484,123	182.8
Male	317,731	162,256,202	195.8
Female	284,619	167,227,921	170.2

(*) number of cancer deaths per 100,000 population

Report Period: 2020

States in Region:  Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, Virginia, and West Virginia

Source: CDC Wonder. Centers for Disease Control and Prevention, National Center for Health Statistics. Underlying Cause of Death 1999-2020 on CDC WONDER Online Database, released in 2021. Data are from the Multiple Cause of Death Files, 1999-2020, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed on February 15, 2023

In the Mid-Eastern U.S., a region that includes five states and the District of Columbia, heart disease accounted for nearly 117,400 deaths in 2020.  Relative to population size, at 240.7 deaths per 100,000 population, the heart disease death rate in the region was 13.8% above the national average.  This, in fact, gave the Mid-Eastern region the second-worst regional heart disease death rate in the U.S. in 2020.  In a pattern seen throughout the U.S., in the Mid-Eastern region, there was a disparity between heart disease death rates in urban and rural populations, with death rates in larger metro areas being lower than in smaller communities and rural areas.  A closer examination of data from the National Center for Health Statistics (NCHS), a unit of the CDC, yields the following about urban vs. rural heart disease death rates in the Mid-Eastern U.S.:

Urban vs. Rural Heart Disease Death Rates in the Mid-Eastern U.S.

County Classification	Deaths	Population	Death Rate*
Large Central Metro	39,124	16,027,707	244.1
Large Fringe Metro	45,860	20,382,556	225.0
Medium Metro	16,775	6,793,188	246.9
Small Metro	6,939	2,615,582	265.3
Micropolitan (Nonmetro)	6,114	2,074,663	294.7
NonCore (Nonmetro)	2,559	864,132	296.1
Region	117,371	48,757,828	240.7
Nationally	696,962	329,484,123	211.5

(*) number of heart disease deaths per 100,000 population

Report Period: 2020

States in region:  Delaware, Maryland, New Jersey, New York, and Pennsylvania (plus the District of Columbia)

See the 2013 NCHS Urban-Rural Classification Scheme for additional information on population categories, including a map of which U.S. counties fall in which categories.

Source: CDC Wonder. Centers for Disease Control and Prevention, National Center for Health Statistics. Underlying Cause of Death 1999-2020 on CDC WONDER Online Database, released in 2021. Data are from the Multiple Cause of Death Files, 1999-2020, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed on February 15, 2023

Short-stay hospitals provide acute inpatient care and are the backbone of the hospital infrastructure serving the needs of more than 62 million Americans having Medicare Part A insurance coverage.  Of the more than 6,200 hospitals that participate in the Medicare program, about 56% were short-stay hospitals.  Moreover, short-stay hospitals accounted for nearly 84% of the total hospital beds serving Medicare Par A enrollees.  

In the Rocky Mountain region, as of the calendar year 2020, there were 125 short-stay hospitals, with just over 21,000 beds, that were participating in the Medicare program.  While the region was home to about 3.3% of the nation's Medicare Part A enrollment, it had less than 3% of the Medicare program's short-stay hospital bed capacity.  Here is a state-level look at Medicare short-stay hospital beds in the Rocky Mountain region:

Medicare Short Stay Hospital Beds in the Rocky Mountain Region

	# Part A Enrollees		# Hospitals	# Beds
CO	927,390		51	10,544
ID	349,019		16	2,769
MT	237,051		16	1,980
UT	412,009		32	4,713
WY	113,659		10	1,080
Region	2,039,128		125	21,086
National*	62,498,751		3,481	774,873
% of National	3.3%		3.6%	2.7%

* National totals include U.S. territories

Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions, and Other, the Calendar Year 2020

Skilled Nursing Facilities (SNFs) serve the needs of over 62 million Americans having Medicare Part A SNF coverage.  Equipped and staffed to offer skilled nursing care on a daily basis, SNFs serve individuals with medical conditions that necessitate daily inpatient nursing care, but not the intensive inpatient care normally provided by short-stay hospitals.  Examples of skilled nursing care include therapeutic treatments or intravenous injections that can only be given by a registered nurse or doctor. , With more than 1,588,000 beds, over 15,000 skilled nursing facilities participated in the Medicare program in the calendar year 2020.

In the calendar year 2020, the Great Lakes states were home to 2,946 SNFs, with nearly 289,000 beds, that were participating in the Medicare program.  Compared to other regions of the country, Medicare Part A enrollees in the Great Lakes states were very well served by SNF bed capacity.  The region was home to about 14.7% of the nation's Medicare Part A enrollees, whereas it had an even larger share (18.2%) of Medicare's SNF bed capacity.  Here is a closer look at Medicare skilled nursing facility beds in the Great Lakes region:

Medicare Skilled Nursing Facility Beds in the Great Lakes Region

Area	# Part A Enrollees		# SNFs	# Beds
IL	2,246,603		687	77,521
IN	1,282,040		527	51,226
MI	2,099,433		432	45,414
OH	2,368,612		953	87,050
WI	1,200,220		347	27,680
Region	9,196,909		2,946	288,891
National*	62,498,751		15,015	1,588,755
% of National	14.7%		19.6%	18.2%

* National totals include U.S. territories

Data Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions, and Other, the Calendar Year 2020

Cancer accounted for more than 602,300 deaths in the U.S. in the 2020 calendar year.  In the four-state Southwestern U.S., there were more than 66,800 cancer deaths that year.   Consistent with a pattern seen nationally, the cancer death rate for men in the region was higher than it was for women.  That said, the cancer death rate in the Southwestern region for both genders was below the overall national average death rate from cancer in 2020.  That result was not particularly surprising in light of the fact that the Southwestern U.S. had the nation's second-lowest regional cancer death rate in 2020. A closer examination of data from the CDC's National Center for Health Statistics reveals the following about male vs. female cancer death rates in the Southwestern U.S. region:

Male vs. Female Cancer Death Rates in the Southwestern U.S.

	Deaths	Population	Death Rate*
Regionwide	66,835	42,869,262	155.9
Male	35,770	21,280,617	168.1
Female	31,065	21,588,645	143.9
Nationwide	602,350	329,484,123	182.8
Male	317,731	162,256,202	195.8
Female	284,619	167,227,921	170.2

(*) number of cancer deaths per 100,000 population

Report Period: 2020

States in Region:  Arizona, New Mexico, Oklahoma, and Texas

Source: CDC Wonder. Centers for Disease Control and Prevention, National Center for Health Statistics. Underlying Cause of Death 1999-2020 on CDC WONDER Online Database, released in 2021. Data are from the Multiple Cause of Death Files, 1999-2020, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed on February 13, 2023

In the six-state New England region, there were 28,580 deaths in 2020 that were attributable to heart disease. At 192.5 deaths per 100,000 population, relative to its population size, the heart disease death rate in the region was about 9% lower than the national average.  As witnessed in other sections of the U.S., the New England region recorded materially lower heart disease death rates in its large urban centers than it did in its smaller communities and rural areas.  Further study of National Center for Health Statistics (NCHS) data produces the following details about urban vs. rural heart disease death rates in New England:

Urban vs. Rural Heart Disease Death Rates in New England

County Classification	Deaths	Population	Death Rate*
Large Central Metro	4,102	2,327,355	176.3
Large Fringe Metro	9,540	5,376,229	177.4
Medium Metro	8,710	4,592,468	189.7
Small Metro	1,927	819,097	235.3
Micropolitan (Nonmetro)	2,652	1,087,204	243.9
NonCore (Nonmetro)	1,649	645,115	255.6
Region	28,580	14,847,468	192.5
Nationally	696,962	329,484,123	211.5

(*) number of heart disease deaths per 100,000 population

Report Period: 2020

States in region:  Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont

See the 2013 NCHS Urban-Rural Classification Scheme for additional information on population categories, including a map of which U.S. counties fall in which categories.

Source: CDC Wonder. Centers for Disease Control and Prevention, National Center for Health Statistics. Underlying Cause of Death 1999-2020 on CDC WONDER Online Database, released in 2021. Data are from the Multiple Cause of Death Files, 1999-2020, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. Accessed on February 13, 2023

Long Term Care Hospitals (LTCHs) serve the needs of over 62 million Americans having Medicare Part A long-term care coverage.  LTCHs provide hospital care to individuals with complex medical conditions that require longer duration (in excess of 25 days on average) inpatient care.  As of the calendar year 2020, Long Term Care hospitals accounted for about 5.6% of the more than 6,200 hospitals, and approximately 2.6% of the 927,300 plus hospital beds, that were participating in the Medicare program.

In the calendar year 2020, the six-state Far West region of the U.S. was home to 30 LTCHs, with 2,278 beds, that were participating in the Medicare program.  This made the region home to about 15.2% of the nation's Medicare Part A enrollees, but only 9.6% of the program's long-term care hospital beds, indicating that the region's Medicare enrollees are relatively under-served for LTCH bed capacity in comparison to other regions of the country.  Here is a closer look at Medicare Long Term Care hospital beds in the U.S. Far West region:

Medicare Long-Term Care Hospital Beds in the U.S. Far West

Area	# Part A Enrollees		# Hospitals	# Beds
AK	104,078		1	59
CA	6,281,323		20	1,667
HI	280,787		1	9
NV	546,759		6	390
OR	885,544		1	73
WA	1,397,182		1	80
Region	9,495,673		30	2,278
National*	62,498,751		347	23,748
% of National	15.2%		8.6%	9.6%

* National totals include U.S. territories

Data Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions, and Other, the Calendar Year 2020

Rehabilitation hospitals are an integral component of the hospital infrastructure serving the needs of the more than 62 million Americans having Medicare Part A insurance coverage.  More than 6,200 hospitals of all types, with over 927,300 beds in total, participated in the Medicare program as of the calendar year 2020.  Accounting for about 5% of those hospitals and 2.1% of those hospital beds were rehabilitation hospitals.

In the calendar year 2020, the six-state New England region of the U.S. was home to 11 rehabilitation hospitals, with more than 1,100 beds, that participated in the Medicare program.  While seemingly small in number, the rehabilitation hospital bed count in the region makes New England Medicare enrollees modestly well-served for rehabilitation hospital care in comparison to other regions of the country.  Home to 4.9% of the nation's Medicare Part A enrollees, New England holds roughly 5.7% of the program's rehabilitation hospital beds.  Here is a state-level look at Medicare rehabilitation hospital beds in New England:

Medicare Rehabilitation Hospital Beds in New England

Area	# Part A Enrollees		# Hospitals	# Beds
CT	689,967		1	60
MA	1,351,220		6	721
ME	345,665		1	100
NH	307,435		2	185
RI	222,702		1	40
VT	151,220		0	0
Region	3,068,210		11	1,106
National*	62,498,751		314	19,481
% of National	4.9%		3.5%	5.7%

* National totals include U.S. territories

Data Source:  CMS Program Statistics, Table: MDCR PROVIDERS 4. Medicare Providers:  Number of Medicare Certified Hospitals and Skilled Nursing Facilities, and Number of Beds, by State, Territories, Possessions and Other, the Calendar Year 2020