Becker’s Healthcare Podcast Expanding Rural Access and Strengthening Community Health with Kelly Macken Marble
Mar 2, 2026
Kelly Macken Marble, CEO of Osceola Medical Center with ~35 years in healthcare leadership, focuses on rural population health. She discusses a major expansion to boost mental health and substance-use care. She outlines specialty and rehab growth, staffing strategies, and navigating Medicaid, 340B, and rural reimbursement challenges.
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Building Inpatient Withdrawal Care And Outpatient Follow Up
- Osceola Medical Center expanded services with a 20,000 sq ft addition focused on mental health and substance use care.
- The hospital now treats withdrawal in-hospital and will add a more intensive outpatient program later this year to support continuity of care.
Use Clinical Experts To Lead New Service Lines
- Hire or empower clinical leaders with domain expertise to lead service expansion.
- Osceola leveraged CMO Dr. David Friends, board certified in addiction medicine, to recruit skilled team members and design the program.
Access Problems Need Both Space And Clinicians
- Physical capacity and clinician supply are both access constraints that must be solved together.
- Osceola's expansion adds 35 exam rooms, specialty space and a second Minnesota clinic to address clinician shortages and footprint limits.