Hospital Rural hospitals with asmaller footprint have less room to negotiate rates with managedcare companies and are often hobbled by more older and poorerpatients. (Photo: Shutterstock)

Industry M&A may be no savior as the paceof hospital closures, particularly in hard-to-reach rural areas, seems poised to accelerate.

Hospitals have been closing at a rate of about 30 a year,according to the American Hospital Association, and patients livingfar from major cities may be left with even fewer hospital choicesas insurers push them toward online providers like Teladoc Inc. and clinicssuch as CVS Health Corp's MinuteClinic.

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