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Rural Health Information Hub

Rural Emergency Hospitals (REHs) – Resources

Selected recent or important resources focusing on Rural Emergency Hospitals (REHs).

January 2025 Annual Rural Emergency Hospital (REH) Monthly Facility Payment Amount
Presents the monthly Rural Emergency Hospital (REH) monthly facility payment amount for Calendar Year 2025.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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CY 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1809-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 2025. Summarizes provisions regarding changes to Intensive Outpatient Program (IOP) and partial hospital program rate setting; incorporating an add-on payment to the Medicare outpatient hospital all-inclusive rate (AIR) for certain high-cost drugs for people with Medicare who receive care at Indian Health Service (IHS) or tribal hospitals; updates to the Hospital Outpatient Quality Reporting (OQR), Ambulatory Surgical Center Quality Reporting (ASCQR), and Rural Emergency Hospital Quality Reporting (REHQR) Programs; a new Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services; Medicaid and CHIP continuous eligibility; Medicaid clinic services "four walls" exceptions; and more.
Date: 11/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Observed Factors Influencing REH Conversion Decisions: Insights from the Rural Emergency Hospital Technical Assistance Center's Financial Modeling Process
Summarizes key findings from the Rural Emergency Hospital (REH) Technical Assistance Center's financial modeling activities for rural hospitals considering conversion. Discusses barriers identified by hospitals considering REH status and common themes for why hospitals chose not to pursue the REH designation.
Date: 10/2024
Type: Document
Sponsoring organization: Rural Health Redesign Center
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The Rural Emergency Hospital Model: Year Two Progress Report
Provides an overview of the Rural Emergency Hospital (REH) payment designation, including the growth in REHs through September 1, 2024, factors that contribute to a hospital seeking REH conversion, and the impacts of REH conversion. Outlines concerns identified by REH leaders, facilities considering converting to REH status, and other rural stakeholders related to the REH designation, as well as policy recommendations to address these concerns.
Author(s): Emma Sheffert, Julia Harris, Marilyn Werber Serafini
Date: 10/2024
Type: Document
Sponsoring organization: Bipartisan Policy Center
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The First Year of Rural Emergency Hospitals: REHs Serve Relatively Disadvantaged Counties
Findings brief examining the kinds of communities with hospitals that converted to Rural Emergency Hospitals (REHs) in 2023. Features demographics and statistics including breakdown by rural location.
Author(s): Young Kim, Julie Perry, Kristie Thompson, George Pink
Date: 10/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Emergency Hospitals Fact Sheet
Provides a brief overview of the Rural Emergency Hospital (REH) provider designation. Outlines REH payment, services, eligibility requirements, and how to apply for REH designation.
Date: 09/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Revised: 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.
Date: 09/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Voice of the REH CEO: Perspectives from Those Who Have Led Their Organizations Through REH Conversion
Summarizes interviews with executives from three hospitals that converted to Rural Emergency Hospital (REH) status regarding their perspectives on conversion. Describes the assessment of the financial feasibility of REH status, preparation of the communities for conversion, staffing and service line adjustments, and the impact of conversion. Includes legislative considerations that could make REH status more attractive to rural hospitals.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 08/2024
Type: Document
Sponsoring organization: Rural Health Redesign Center
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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: 08/2024
Type: Document
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Rural Emergency Hospitals (REHs)
Printable map that shows the location of Rural Emergency Hospitals (REHs) nationwide by state. Data source: data.HRSA.gov, U.S. Department of Health and Human Services
Date: 07/2024
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Last Updated: 11/22/2024