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Resources by Topic: Rural Emergency Hospitals

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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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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Public Law 116–260: Consolidated Appropriations Act, 2021
Text of the Consolidated Appropriations Act, 2021, Public Law 116-260 (December 27, 2020). Section 125 establishes the Rural Emergency Hospital designation. Section 127 makes changes to direct graduate medical education (GME) and indirect GME payments to teaching hospitals that train residents in Rural Training Programs.
Date: 12/2020
Type: Document
Sponsoring organization: U.S. Congress
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Rural Emergency Hospitals
Interactive maps displaying the location of hospitals across the U.S. that have converted to Rural Emergency Hospitals (REHs) since January 2023. Provides sortable and downloadable lists containing facility information about each hospital, including previous Medicare payment status.
Type: Website
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Emergency Hospitals
Provides an overview of the Rural Emergency Hospital (REH) provider designation. Outlines the services REHs provide and REH Conditions of Participation. Describes the facilities that are eligible to become an REH, the Medicare enrollment process, and technical assistance to REHs.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Emergency Hospitals Topic Guide
Provides resources and answers frequently asked questions regarding the Rural Emergency Hospital (REH) designation. Addresses eligibility for REH status, services and staffing requirements, reimbursement, who to contact for assistance, and more.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Rural Emergency Hospital Technical Assistance Center
Provides technical assistance to rural hospitals and Critical Access Hospitals interested in examining the feasibility of converting to a Rural Emergency Hospital (REH). Also offers support throughout the application process, planning for REH conversion, and implementing service changes.
Type: Website
Sponsoring organization: Rural Health Redesign Center
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