Rural Health
Resources by Topic: Legislation and regulations
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.
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.
Date: 11/2023
Type: Video/Multimedia
Sponsoring organization: Rural Health Redesign Center
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RHC Emergency Preparedness 101
Recording of a November 7, 2023, webinar on Rural Health Clinic (RHC) emergency preparedness requirements. Provides an overview of the regulatory and interpretive guidance requirements and discusses the components of an emergency preparedness manual. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 11/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a November 7, 2023, webinar on Rural Health Clinic (RHC) emergency preparedness requirements. Provides an overview of the regulatory and interpretive guidance requirements and discusses the components of an emergency preparedness manual. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 11/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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Hospital Outpatient Prospective Payment System (OPPS): Remedy for the 340B-Acquired Drug Payment Policy for Calendar Years 2018-2022 Final Rule (CMS 1793-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule describing the agency's actions to remedy payment cuts to certain hospitals that participate in the 340B Drug Pricing Program from 2018-2022 that were declared unlawful by the Supreme Court's decision in American Hospital Association v. Becerra, 142 S. Ct. 1896 (2022). Details the one-time lump sum payments to affected 340B covered entities to what they would have been paid had the 340B payment cuts not been applied, as well as a 0.5% payment reduction on future non-drug item and service payments to maintain budget neutrality beginning in calendar year 2026.
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 describing the agency's actions to remedy payment cuts to certain hospitals that participate in the 340B Drug Pricing Program from 2018-2022 that were declared unlawful by the Supreme Court's decision in American Hospital Association v. Becerra, 142 S. Ct. 1896 (2022). Details the one-time lump sum payments to affected 340B covered entities to what they would have been paid had the 340B payment cuts not been applied, as well as a 0.5% payment reduction on future non-drug item and service payments to maintain budget neutrality beginning in calendar year 2026.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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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Calendar Year (CY) 2024 Medicare Physician Fee Schedule Final Rule
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2024. Summarizes provisions related to paying separately for Community Health Integration, Social Determinants of Health (SDOH) Risk Assessment, and Principal Illness Navigation services; telehealth services; mental health visits furnished by Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), including marriage and family therapists and mental health counselors as eligible for payment at RHCs and FQHCs; 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 under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2024. Summarizes provisions related to paying separately for Community Health Integration, Social Determinants of Health (SDOH) Risk Assessment, and Principal Illness Navigation services; telehealth services; mental health visits furnished by Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), including marriage and family therapists and mental health counselors as eligible for payment at RHCs and FQHCs; and more.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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First-Ever Rural Physician and Advanced Practice Provider Compensation Survey
Recording of an October 11, 2023, webinar discussing results of a January 2023 survey of rural hospitals regarding physician and advanced-practice provider compensation. Presents results for primary care and specialty care providers by provider type, hospital system affiliation, and region. Highlights factors that influence compensation and nurse practitioner practice environments by state. Transcript available in the video description.
Additional links: Presentation Slides
Date: 10/2023
Type: Video/Multimedia
Sponsoring organizations: National Rural Health Association, Stroudwater Associates
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Recording of an October 11, 2023, webinar discussing results of a January 2023 survey of rural hospitals regarding physician and advanced-practice provider compensation. Presents results for primary care and specialty care providers by provider type, hospital system affiliation, and region. Highlights factors that influence compensation and nurse practitioner practice environments by state. Transcript available in the video description.
Additional links: Presentation Slides
Date: 10/2023
Type: Video/Multimedia
Sponsoring organizations: National Rural Health Association, Stroudwater Associates
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Tax-Exempt Hospitals Provided Nearly $130 Billion in Total Benefits to Their Communities: Results from 2020 Tax-Exempt Hospitals' Schedule H Community Benefit Reports
Summarizes the benefits nonprofit hospitals provide their communities based on an analysis of IRS Form 990 Schedule H. Addresses the percent spent on financial assistance, health professions education, community building activities, and other categories included on Schedule H. Includes data for rural and Critical Access Hospitals.
Date: 10/2023
Type: Document
Sponsoring organization: American Hospital Association
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Summarizes the benefits nonprofit hospitals provide their communities based on an analysis of IRS Form 990 Schedule H. Addresses the percent spent on financial assistance, health professions education, community building activities, and other categories included on Schedule H. Includes data for rural and Critical Access Hospitals.
Date: 10/2023
Type: Document
Sponsoring organization: American Hospital Association
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MedPAC Payment Basics
Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 10/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Series of briefs providing an of Medicare payment systems. Covers payments systems including Accountable Care Organizations (ACO), Critical Access Hospitals (CAH), Federally Qualified Health Centers and Rural Health Clinics, hospital acute inpatient services, and more.
Date: 10/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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September 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2023 meeting. Covers managed care denials and appeals, Medicaid demographic data collection, the unwinding of the Medicaid continuous coverage requirement, the MACPAC hospital supplemental payment work plan, a review of the proposed rule on nursing facility staffing and payment transparency, and school-based behavioral health services for students enrolled in Medicaid, among other things. Includes rural references throughout.
Date: 09/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2023 meeting. Covers managed care denials and appeals, Medicaid demographic data collection, the unwinding of the Medicaid continuous coverage requirement, the MACPAC hospital supplemental payment work plan, a review of the proposed rule on nursing facility staffing and payment transparency, and school-based behavioral health services for students enrolled in Medicaid, among other things. Includes rural references throughout.
Date: 09/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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