Access to post-acute services is an important component in the continuum of care and as part of value-based care payment models. The purpose of this study is to describe rural Medicare Fee-for-Service beneficiaries' and rural Medicare Advantage beneficiaries' differences in post-acute care utilization and post-discharge outcomes. Primary outcomes to be examined will include discharge to community versus a formal post-acute care setting (i.e., skilled nursing facility, swing bed, home health care, or inpatient rehabilitation facility) and readmission and mortality within 30, 60, and 90 days of hospital discharge. This study will provide important information on how utilization and outcomes differ by coverage for rural Medicare beneficiaries and by region of the country, rurality, and race and ethnicity.