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Rural Health
Resources by Topic: Rural Emergency Hospitals

Rural Emergency Hospital: Policy Brief and Recommendations to the Secretary
Describes the development of the Rural Emergency Hospital (REH) designation in response to rural hospital closures and issues accessing emergency care. Lists statutory requirements for hospitals wishing to become an REH, and offers policy recommendations related to participation conditions, quality reporting, reimbursement, and emergency medical transfer agreement.
Date: 10/2021
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Health Panel Comment Letter – Rural Emergency Hospitals (REH)
Offers comments in response to the Centers for Medicare and Medicaid Services (CMS) Request for Information on Rural Emergency Hospitals (REH). Addresses the type and scope of services REHs could offer, conditions of participation, health equity, collaboration and care coordination, quality measurement, payment, and enrollment.
Date: 09/2021
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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MedPAC Comment on CMS's Proposed Rule on Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs for CY 2022
Comments on an August 4, 2021, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2022. Includes considerations for Rural Emergency Hospital payments and emergency department staffing requirements.
Date: 09/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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The Rural Emergency Hospital and Value-Based Care
Summarizes the new Rural Emergency Hospital (REH) legislation, outlines local considerations before REH conversion, and prepares stakeholders to comment when the Centers for Medicare & Medicaid Services releases REH proposed rules for public input. Addresses questions regarding anticipated proposed rules and describes opportunities to inform REH rulemaking.
Date: 08/2021
Type: Document
Sponsoring organization: Rural Health Value
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How Many Hospitals Might Convert to a Rural Emergency Hospital (REH)?
Results of a study to predict the number of rural hospitals with 50 beds or fewer that are likely to consider conversion to Rural Emergency Hospital designation under the Medicare program. Features statistics on number and percent of complete closures and converted closures between 2011-2020 among hospitals with 50 beds or fewer, and open hospitals as of 2019-2020, with breakdowns by financial measures, operational measures, Medicare payment type, and census division.
Author(s): George H. Pink, Kristie W. Thompson, H. Ann Howard, G. Mark Holmes
Date: 07/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Emergency Hospital (REH) Model Summary
Provides an overview of the Rural Emergency Hospital (REH) model, a Medicare provider type established by the Consolidated Appropriations Act, 2021. Describes key features of the REH model and the REH payment methodology. Identifies considerations that must be addressed by the Centers for Medicare and Medicaid Services (CMS) and state Medicaid programs, as well as areas that will require technical assistance.
Date: 04/2021
Type: Document
Sponsoring organization: National Rural Health Association
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Congress Establishes New Medicare Provider Category and Reimbursement for Rural Emergency Hospitals
Provides an overview of the Rural Emergency Hospital (REH) provider designation established in the Consolidated Appropriations Act, 2021. Discusses provider eligibility criteria, REH requirements and permitted services, and Medicare reimbursement. Highlights key questions that need to be addressed by the Centers for Medicare and Medicaid Services.
Author(s): Emily J. Cook, Sandra M. DiVarco, Caroline Reigart
Citation: National Law Review, XI(5)
Date: 01/2021
Type: Document
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