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Rural Health
Resources by Topic: Rural Emergency Hospitals

Next Steps for the Rural Emergency Hospital Model
Blog post discussing rural hospital closures and how the Rural Emergency Hospital (REH) model can help financially vulnerable hospitals align their services to the needs of the community. Highlights recommendations to the U.S. Department of Health and Human Services regarding REH conditions of participation and payment.
Date: 09/2022
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Health Panel Comment Letter – Hospital Outpatient Prospective Payment System and Rural Emergency Hospitals
Comments offered in response to a July 26, 2022, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2023 and establishing Rural Emergency Hospital (REH) payment policy, quality measures, and enrollment policy. Discusses telehealth services for mental healthcare; REH quality measures, telehealth, and Conditions of Participation; and the use of Centers for Medicare & Medicaid Services (CMS) data on hospital and skilled nursing facilities changes in ownership.
Date: 09/2022
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Medicare's New Rural Emergency Hospital Designation — Considerations for States
Blog post providing an overview of the Rural Emergency Hospital (REH) program. Discusses the REH designation as an alternative to rural hospital closure and REH payment policy. Highlights opportunities for states to develop REH licensure requirements.
Author(s): Rebekah Falkner, Sam Mermin
Date: 09/2022
Type: Document
Sponsoring organization: National Academy for State Health Policy
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MedPAC Comment on CMS's Proposed Rule on the Payment Systems for Hospital Outpatient Departments and Ambulatory Surgical Centers for 2023
Comments on a July 26, 2022, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2023. Includes considerations for payment for 340B drugs, additional facility payments for Rural Emergency Hospitals, telehealth rehabilitation services beyond the COVID-19 public health emergency, and efforts for measuring equity and healthcare quality disparities.
Date: 09/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Emergency Hospitals
Provides an overview of the Rural Emergency Hospital (REH) program and the statutory requirements for facilities seeking REH designation. Outlines state laws that established REH licensure.
Date: 08/2022
Type: Document
Sponsoring organization: National Conference of State Legislatures
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MedPAC Comment on CMS's Proposed Rule on Conditions of Participation (CoPs) for Rural Emergency Hospitals and Critical Access Hospital CoP Updates
Comments on July 2022 Federal Register proposed rule regarding staffing requirements for rural emergency hospitals (REHs). Discusses whether proposed staffing requirements are sufficient to ensure access to emergency care.
Date: 07/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Emergency Hospitals Proposed Rulemaking
Provides an overview of Rural Emergency Hospitals, a Medicare provider type established by the Consolidated Appropriations Act, 2021. Details key policies outlined in two proposed rules, including payment policies, conditions or participation, REH provider enrollment, and exceptions to the physician self-referral law.
Date: 07/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rx for the Rural Healthcare Workforce and Access to Care
Podcast with Tom Morris of the Federal Office of Rural Health Policy about trends related to the rural healthcare workforce and efforts to overcome challenges. Discusses the effect of the COVID-19 pandemic, rural hospital closures, telehealth, graduate medical education in rural areas, community health workers and community paramedics, funding opportunities to promote healthcare access in rural areas, the opioid crisis, and more.
Author(s): Jessica Nicholson
Date: 05/2022
Type: Audio
Sponsoring organization: The Conference Board
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The Impact of COVID-19 on the Rural Health Care Landscape: Challenges and Opportunities
Presents an overview of key findings from interviews with stakeholders in eight states - Iowa, Minnesota, Montana, Nebraska, Nevada, North Dakota, South Dakota, and Wyoming - regarding the rural healthcare landscape. Discusses rural hospital financial health, rural hospital transformation models, challenges facing the rural healthcare workforce, and the role of telehealth in increasing access to care. Provides recommendations aimed at further advancing the use of virtual care in all communities, including rural and frontier areas, beyond the temporary federal COVID-19 public health emergency flexibilities.
Author(s): Sabah Bhatnagar, Julia Harris, Tara Hartnett, et al.
Date: 05/2022
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Rural Health Quality: How CMS Initiatives Improve How We Measure and Address Gaps in Care
Recording of an April 2022 webinar regarding healthcare quality measurement in rural areas. Discusses measurement challenges in rural areas and how CMS is working to mitigate these issues. Presents resources and programs for rural providers to improve healthcare quality. Transcript is available by clicking the dots above the Subscribe button, then selecting Open Transcript.
Additional links: Presentation Slides
Date: 04/2022
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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