Rural Health Resources by Topic: Rural Emergency Hospitals
Unrelenting Pressure Pushes Rural Safety Net Crisis Into Uncharted Territory
Examines financial and operational metrics for rural hospitals. Discusses the growth of Medicare Advantage (MA) enrollment in rural communities between 2019 and 2023, the impact of MA on rural hospital reimbursement, how the Rural Emergency Hospital (REH) designation can provide a path forward for some rural facilities, and the discontinuation of obstetrics and chemotherapy services at rural hospitals since 2011. Includes the percentage of rural hospitals in each state vulnerable to closure and nine factors significantly associated with rural hospital vulnerability.
Date: 02/2024 Type: Document Sponsoring organization: Chartis Center for Rural Health view details
Legislative Action Bridging Public Health and Clinical Healthcare
Discusses legislation that relates to equitable access to healthcare, with a focus on telehealth, infrastructure, safety net services, management of healthcare costs, and the expansion of the healthcare workforce. Includes information on access to emergency departments in rural areas and the Rural Emergency Hospital (REH) designation.
Author(s): Ashley Cram, Brianna Gorman Date: 01/2024 Type: Document Sponsoring organization: Association of State and Territorial Health Officials view details
Policy Solutions Addressing Psychiatric Boarding of Rural Youth
Policy position paper regarding psychiatric boarding - holding patients in an emergency department after the decision to admit or transfer has been made, but no beds are available - of rural children and adolescents. Describes recent trends in pediatric psychiatric boarding in rural areas. Offers policy recommendations to reduce boarding times and improve mental health outcomes in rural communities.
Author(s): Amah Riley, Jonathan Updike, Lauren Wood Date: 12/2023 Type: Document Sponsoring organization: National Rural Health Association view details
November 2023 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) November 2023 meeting. Covers the Rural Emergency Hospital (REH) designation, dual-eligible special needs plans (D-SNPs), MedPAC's proposed work plan on hospice and end-of-life care, Medicare coverage and payment for software as a medical service, and access and favorable selection in Medicare Advantage. Includes rural references and considerations throughout.
Date: 11/2023 Type: Document Sponsoring organization: Medicare Payment Advisory Commission view details
The Evolution of Rural Emergency Hospitals as a New Model of Care
Podcast episode with Laura Appel, executive vice president of the Michigan Health and Hospital Association, and Christina Campos, CEO at Guadalupe County Hospital. Discusses the Rural Emergency Hospital (REH) designation, the conversion process, meeting eligibility requirements, and the benefit of REHs to rural patients and communities.
Date: 11/2023 Type: Audio Sponsoring organization: American Hospital Association view details
Rural Emergency Hospital Conversion and Technical Assistance Webinar
Recording of a November 2, 2023, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of the REH designation, policy and regulatory requirements, and REH Technical Assistance Center (TAC) services. Presentation slides include links to resources and templates. Transcript available in the video description.
Date: 11/2023 Type: Video/Multimedia Sponsoring organization: Rural Health Redesign Center view details