Rural Emergency Hospitals – Resources
Selected recent or important resources focusing on Rural Emergency Hospitals.
MedPAC Report to the Congress: Medicare Payment Policy: Mandated Report: Rural Emergency Hospitals: Chapter 15
Provides an overview of the Rural Emergency Hospital (REH) designation. Discusses the evolution of Medicare's support for rural hospitals through payment policies and the impact of declining inpatient volumes on rural hospitals' financial sustainability. Describes the characteristics of hospitals that converted to REH status in 2023, the first year of the designation.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of the Rural Emergency Hospital (REH) designation. Discusses the evolution of Medicare's support for rural hospitals through payment policies and the impact of declining inpatient volumes on rural hospitals' financial sustainability. Describes the characteristics of hospitals that converted to REH status in 2023, the first year of the designation.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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What Does It Mean to Be a Rural Emergency Hospital? Hear This Kansas CEO's Journey to An REH
Recording of a February 8, 2024, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of the REH designation, policy and regulatory requirements, REH Technical Assistance Center (TAC) services, and REH conversion timeline. Features a discussion with Jeff Bowman, Chief Executive Officer of South Central Kansas Medical Center, regarding the facility's conversion to REH status.
Additional links: Presentation Slides
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Redesign Center
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Recording of a February 8, 2024, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of the REH designation, policy and regulatory requirements, REH Technical Assistance Center (TAC) services, and REH conversion timeline. Features a discussion with Jeff Bowman, Chief Executive Officer of South Central Kansas Medical Center, regarding the facility's conversion to REH status.
Additional links: Presentation Slides
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Redesign Center
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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
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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
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Rural Emergency Hospital (REH) Model Frequently Asked Questions
Provides answers to frequently asked questions regarding the Rural Emergency Hospital (REH) designation. Covers general information, Conditions of Participation, and REH payment policies.
Date: 02/2024
Type: Document
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Provides answers to frequently asked questions regarding the Rural Emergency Hospital (REH) designation. Covers general information, Conditions of Participation, and REH payment policies.
Date: 02/2024
Type: Document
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Medicare Claims Processing Manual Chapter 4 - Part B Hospital (Including Inpatient Hospital Part B and OPPS)
Outlines rules and regulations for processing Medicare Part B hospital claims. Covers special rules for Critical Access Hospital outpatient billing, hospital-based Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) billing for non-RHC/FQHC services, and payment adjustments for Rural Emergency Hospitals (REHs).
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Outlines rules and regulations for processing Medicare Part B hospital claims. Covers special rules for Critical Access Hospital outpatient billing, hospital-based Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) billing for non-RHC/FQHC services, and payment adjustments for Rural Emergency Hospitals (REHs).
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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
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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
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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
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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
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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.
Additional links: Presentation Slides
Date: 11/2023
Type: Video/Multimedia
Sponsoring organization: Rural Health Redesign Center
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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.
Additional links: Presentation Slides
Date: 11/2023
Type: Video/Multimedia
Sponsoring organization: Rural Health Redesign Center
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CY 2024 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1786-FC)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2024. Summarizes provisions regarding changes to the community mental health centers (CMHC) Conditions of Participation (CoPs); payment for intensive outpatient program (IOP) services; payment methodology for Indian Health Service (IHS) and tribal facilities that convert to Rural Emergency Hospital (REH) status; the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; and more.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments for hospital outpatient and Ambulatory Surgical Center (ASC) services for calendar year 2024. Summarizes provisions regarding changes to the community mental health centers (CMHC) Conditions of Participation (CoPs); payment for intensive outpatient program (IOP) services; payment methodology for Indian Health Service (IHS) and tribal facilities that convert to Rural Emergency Hospital (REH) status; the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; and more.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Medicare Learning Network: Rural Emergency Hospitals
Details the regulatory requirements for providers to become a Rural Emergency Hospital (REH). Provides information on REH billing for Medicare services, Medicare payments for REH services, and the additional monthly facility payment.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Details the regulatory requirements for providers to become a Rural Emergency Hospital (REH). Provides information on REH billing for Medicare services, Medicare payments for REH services, and the additional monthly facility payment.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Last Updated: 4/5/2024