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Geographic deserts, provider shortages, and the supply of care — who can reach a clinician, and who cannot.

5 studies on this desk

Medicare Part D drug spending by state: where the dollars concentrate
California prescribers drove $21.26 billion of Medicare Part D drug cost in 2024, the most of any state — followed by New York at $18.17 billion, Florida ($16.84 billion), and Texas ($15.75 billion). The four largest states alone account for nearly a third of the program's $226.74 billion in drug spending.
2026-06-12 · 10 min
Hospice Provider Availability by State: 6,943 Medicare-Certified Providers, 69% For-Profit
6,943 Medicare-certified hospice providers operate across 51 U.S. jurisdictions; 69% are for-profit. California alone holds 31% of all national certifications with an 83% for-profit rate, while New York lists just 40 hospices at 7.5%. Every figure traces to the CMS Care Compare Hospice dataset (yc9t-dgbk) with signed provenance.
2026-06-06 · 10 min
Hospital Price Transparency Enforcement: 11,440 CMS Actions Since 2021
28 civil monetary penalties, 2,993 warning notices, and a complete 5-year federal enforcement record — every action CMS has taken against non-compliant hospitals under the Price Transparency rule. Texas leads with 1,175 enforcement actions; 2025 was the peak year with 5,432 actions. State-level breakdowns and reproducible methodology from CMS data.
2026-06-06 · 10 min
County-Level Nursing-Home RN Staffing Deserts
Across 1,362 U.S. counties with at least three reporting nursing homes, 550 (40%) staff registered nurses below the 0.55 federal hours-per-resident-day floor. A ranked, county-level analysis built on CMS Payroll-Based Journal staffing data — every county traceable to a cryptographically signed snapshot.
2026-06-03 · 12 min
A March spike in Medicare enrollment deactivations thinned provider supply in shortage areas
Medicare enrollment deactivations in PECOS ran 28% above the trailing-twelve-month average in March 2026 — and the spike was not uniform. Deactivations in HRSA-designated shortage areas grew 41% against trend, versus 19% elsewhere. The places least able to absorb a departure lost providers fastest.
2026-04-28 · 6 min

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Desk

Access

Geographic deserts, provider shortages, and the supply of care — who can reach a clinician, and who cannot.

5 studies on this desk

Medicare Part D drug spending by state: where the dollars concentrate
California prescribers drove $21.26 billion of Medicare Part D drug cost in 2024, the most of any state — followed by New York at $18.17 billion, Florida ($16.84 billion), and Texas ($15.75 billion). The four largest states alone account for nearly a third of the program's $226.74 billion in drug spending.
2026-06-12 · 10 min
Hospice Provider Availability by State: 6,943 Medicare-Certified Providers, 69% For-Profit
6,943 Medicare-certified hospice providers operate across 51 U.S. jurisdictions; 69% are for-profit. California alone holds 31% of all national certifications with an 83% for-profit rate, while New York lists just 40 hospices at 7.5%. Every figure traces to the CMS Care Compare Hospice dataset (yc9t-dgbk) with signed provenance.
2026-06-06 · 10 min
Hospital Price Transparency Enforcement: 11,440 CMS Actions Since 2021
28 civil monetary penalties, 2,993 warning notices, and a complete 5-year federal enforcement record — every action CMS has taken against non-compliant hospitals under the Price Transparency rule. Texas leads with 1,175 enforcement actions; 2025 was the peak year with 5,432 actions. State-level breakdowns and reproducible methodology from CMS data.
2026-06-06 · 10 min
County-Level Nursing-Home RN Staffing Deserts
Across 1,362 U.S. counties with at least three reporting nursing homes, 550 (40%) staff registered nurses below the 0.55 federal hours-per-resident-day floor. A ranked, county-level analysis built on CMS Payroll-Based Journal staffing data — every county traceable to a cryptographically signed snapshot.
2026-06-03 · 12 min
A March spike in Medicare enrollment deactivations thinned provider supply in shortage areas
Medicare enrollment deactivations in PECOS ran 28% above the trailing-twelve-month average in March 2026 — and the spike was not uniform. Deactivations in HRSA-designated shortage areas grew 41% against trend, versus 19% elsewhere. The places least able to absorb a departure lost providers fastest.
2026-04-28 · 6 min

Other desks

All research →