Rural Health
Resources by Topic: Rural Emergency Hospitals
Orientation to Rural Emergency Hospital Conversion and Technical Assistance, Additional Guidance
Recording of a March 1, 2023, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of January 2023 guidance from the Centers for Medicare & Medicaid Services, including REH action plans, transfer agreements, self-attestation to Conditions of Participation, the REH application process, and the rural status distance exception. Transcript available in the video description.
Additional links: Presentation Slides
Date: 03/2023
Type: Video/Multimedia
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Recording of a March 1, 2023, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of January 2023 guidance from the Centers for Medicare & Medicaid Services, including REH action plans, transfer agreements, self-attestation to Conditions of Participation, the REH application process, and the rural status distance exception. Transcript available in the video description.
Additional links: Presentation Slides
Date: 03/2023
Type: Video/Multimedia
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Rural Emergency Hospitals and Rural Hospital Innovation Grant
A webinar that discusses the Rural Emergency Hospital (REH) designation, services provided, eligibility, the review process, payment model, and more. Provides information on the Rural Hospital Innovation Grant (RHIG) as well as how REH designation could impact and/or benefit healthcare facilities in Kansas.
Additional links: Slide Deck
Date: 03/2023
Type: Video/Multimedia
Sponsoring organization: Kansas Department of Health and Environment
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A webinar that discusses the Rural Emergency Hospital (REH) designation, services provided, eligibility, the review process, payment model, and more. Provides information on the Rural Hospital Innovation Grant (RHIG) as well as how REH designation could impact and/or benefit healthcare facilities in Kansas.
Additional links: Slide Deck
Date: 03/2023
Type: Video/Multimedia
Sponsoring organization: Kansas Department of Health and Environment
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Chartis Center for Rural Health Research & Resources for the 2023 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes Rural Health Safety Net Under Renewed Pressure as Pandemic Fades and presentation slides on this report from the 2023 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2023
Type: Website
Sponsoring organization: Chartis Center for Rural Health
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Offers research and analysis of the stability of the rural healthcare safety net. Includes Rural Health Safety Net Under Renewed Pressure as Pandemic Fades and presentation slides on this report from the 2023 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2023
Type: Website
Sponsoring organization: Chartis Center for Rural Health
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Rural Health Safety Net Under Renewed Pressure as Pandemic Fades
Examines financial and operational metrics for rural hospitals, comparing hospitals in states that did and did not expand Medicaid, as well as the discontinuation of obstetrics and chemotherapy services. Discusses how the Rural Emergency Hospital (REH) designation can provide a path forward for some rural facilities and explores seven characteristics that may have the greatest impact on a facility's consideration to convert to an REH.
Date: 02/2023
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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Examines financial and operational metrics for rural hospitals, comparing hospitals in states that did and did not expand Medicaid, as well as the discontinuation of obstetrics and chemotherapy services. Discusses how the Rural Emergency Hospital (REH) designation can provide a path forward for some rural facilities and explores seven characteristics that may have the greatest impact on a facility's consideration to convert to an REH.
Date: 02/2023
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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Hospitals in Illinois that are Likely to Seek the Rural Emergency Hospital Designation: An Exploratory Analysis
Examines hospitals in Illinois in rural and urban locations that may potentially seek the Rural Emergency Hospital (REH) designation. Analyzes factors such as population density, size of hospital, specialist vs. utilitarian hospital, for-profit status, and more to hypothesize potential REH membership.
Author(s): Adee Athiyaman
Date: 01/2023
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Examines hospitals in Illinois in rural and urban locations that may potentially seek the Rural Emergency Hospital (REH) designation. Analyzes factors such as population density, size of hospital, specialist vs. utilitarian hospital, for-profit status, and more to hypothesize potential REH membership.
Author(s): Adee Athiyaman
Date: 01/2023
Type: Document
Sponsoring organization: Illinois Institute for Rural Affairs
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Guidance for Rural Emergency Hospital Provisions, Conversion Process and Conditions of Participation
Provides guidance regarding the enrollment and conversion processes for facilities interested in participating in the Medicare and Medicaid programs as a Rural Emergency Hospital (REH). Covers eligibility, enrollment, conversion action plans, action plans, and attestation. Includes answers to frequently asked questions about the REH program and State Operations Manual Appendix O - Survey Protocol, Regulations and Interpretive Guidelines for Rural Emergency Hospitals.
Date: 01/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides guidance regarding the enrollment and conversion processes for facilities interested in participating in the Medicare and Medicaid programs as a Rural Emergency Hospital (REH). Covers eligibility, enrollment, conversion action plans, action plans, and attestation. Includes answers to frequently asked questions about the REH program and State Operations Manual Appendix O - Survey Protocol, Regulations and Interpretive Guidelines for Rural Emergency Hospitals.
Date: 01/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Orientation to Rural Emergency Hospital Conversion and Technical Assistance
Recording of a January 18, 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. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Additional links: Presentation Slides
Date: 01/2023
Type: Document
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Recording of a January 18, 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. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Additional links: Presentation Slides
Date: 01/2023
Type: Document
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Characteristics of Rural Hospitals Eligible for Conversion to Rural Emergency Hospitals and Three Rural Hospitals Considering Conversion
Findings brief presenting updated data for Rural Emergency Hospital (REH)-eligible hospitals. Compares financial and operational measures of 3 rural hospitals that have expressed interest in REH conversion with those of all 1,787 REH-eligible hospitals. Also discusses what factors may determine the number of rural hospitals that convert to REH, including risk of permanent closure.
Author(s): George Pink, Susie Gurzenda, Kristie Thompson, Ann Howard
Date: 12/2022
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief presenting updated data for Rural Emergency Hospital (REH)-eligible hospitals. Compares financial and operational measures of 3 rural hospitals that have expressed interest in REH conversion with those of all 1,787 REH-eligible hospitals. Also discusses what factors may determine the number of rural hospitals that convert to REH, including risk of permanent closure.
Author(s): George Pink, Susie Gurzenda, Kristie Thompson, Ann Howard
Date: 12/2022
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Clarity for Rural Emergency Hospitals and Changes for Critical Access Hospitals: CMS Finalizes Conditions of Participation and Payment and Enrollment Policies But Pauses Stark Law Flexibilities
Provides an overview of the Rural Emergency Hospitals (REHs) provisions of the Calendar Year 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule. Discusses REH reimbursement, Conditions of Participation (CoPs), enrollment provisions, and Stark Law regulatory modifications to accommodate REHs. Highlights changes to the definition of "primary roads" related to Critical Access Hospital (CAH) CoPs.
Author(s): Emily Jane Cook, Caroline Reignley, Amber Arnold, Sandra M. DiVarco
Date: 11/2022
Type: Document
Sponsoring organization: McDermott Will & Emery
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Provides an overview of the Rural Emergency Hospitals (REHs) provisions of the Calendar Year 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule. Discusses REH reimbursement, Conditions of Participation (CoPs), enrollment provisions, and Stark Law regulatory modifications to accommodate REHs. Highlights changes to the definition of "primary roads" related to Critical Access Hospital (CAH) CoPs.
Author(s): Emily Jane Cook, Caroline Reignley, Amber Arnold, Sandra M. DiVarco
Date: 11/2022
Type: Document
Sponsoring organization: McDermott Will & Emery
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Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Organ Acquisition; Rural Emergency Hospitals: Payment Policies, Conditions of Participation, Provider Enrollment, Physician Self-Referral; New Service Category for Hospital Outpatient Department Prior Authorization Process; Overall Hospital Quality Star Rating; COVID-19
Establishes the Rural Emergency Hospital (REH) provider type. Outlines REH payment policy, Conditions of Participation (CoPs), quality measures, and enrollment policy. Outlines changes to the Critical Access Hospitals (CAH) CoPs regarding location and distance requirements, patient's rights requirements, and flexibilities for CAHs that are part of a larger health system. Among other things, this rule also revises the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2023 and finalizes provisions included in the COVID-19 interim final rules.
Additional links: Fact Sheet
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Establishes the Rural Emergency Hospital (REH) provider type. Outlines REH payment policy, Conditions of Participation (CoPs), quality measures, and enrollment policy. Outlines changes to the Critical Access Hospitals (CAH) CoPs regarding location and distance requirements, patient's rights requirements, and flexibilities for CAHs that are part of a larger health system. Among other things, this rule also revises the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2023 and finalizes provisions included in the COVID-19 interim final rules.
Additional links: Fact Sheet
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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