Rural Emergency Hospitals – Resources
Selected recent or important resources focusing on Rural Emergency Hospitals.
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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Early Learnings From the Rural Health Redesign Center and its Rural Emergency Hospital Technical Assistance Center
Provides a brief overview of the Rural Emergency Hospital (REH) designation and the Rural Health Redesign Center's Rural Emergency Hospital Technical Assistance Center (REH-TAC). Describes the characteristics of Critical Access Hospitals (CAHs) and rural prospective payment system (PPS) hospitals that have explored REH conversion and have sought technical assistance from REH-TAC. Includes data on net patient revenue, operating income, margins, annualized 340B revenue, and more, by hospital type. Highlights common concerns raised by hospitals exploring REH conversion.
Date: 10/2023
Type: Document
Sponsoring organization: Rural Health Redesign Center
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Provides a brief overview of the Rural Emergency Hospital (REH) designation and the Rural Health Redesign Center's Rural Emergency Hospital Technical Assistance Center (REH-TAC). Describes the characteristics of Critical Access Hospitals (CAHs) and rural prospective payment system (PPS) hospitals that have explored REH conversion and have sought technical assistance from REH-TAC. Includes data on net patient revenue, operating income, margins, annualized 340B revenue, and more, by hospital type. Highlights common concerns raised by hospitals exploring REH conversion.
Date: 10/2023
Type: Document
Sponsoring organization: Rural Health Redesign Center
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MedPAC Comment on CMS's Proposed Rule on the Outpatient Prospective Payment System for FY 2024
Comment on the July 31, 2023, Federal Register proposed rule revising the physician fee schedule to improve Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payments for calendar year 2024. Includes discussions on extending the use of the hospital market basket to update ASC payment rates, a proposed quality measure for emergency department visits in Rural Emergency Hospitals (REHs), and more.
Date: 09/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on the July 31, 2023, Federal Register proposed rule revising the physician fee schedule to improve Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payments for calendar year 2024. Includes discussions on extending the use of the hospital market basket to update ASC payment rates, a proposed quality measure for emergency department visits in Rural Emergency Hospitals (REHs), and more.
Date: 09/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Emergency Hospitals: Legislative and Regulatory Considerations for States
Provides an overview of the Rural Emergency Hospital designation, including licensure and federal requirements for the designation that states must consider before pursuing legislation for REH licensure. Presents a table comparing how 14 states addressed these considerations. Offers legislation to assist states that want to pursue the model.
Additional links: Guide to Legislative and Regulatory Considerations for States
Author(s): Vicki Veltri, Rebekah Falkner
Date: 08/2023
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Provides an overview of the Rural Emergency Hospital designation, including licensure and federal requirements for the designation that states must consider before pursuing legislation for REH licensure. Presents a table comparing how 14 states addressed these considerations. Offers legislation to assist states that want to pursue the model.
Additional links: Guide to Legislative and Regulatory Considerations for States
Author(s): Vicki Veltri, Rebekah Falkner
Date: 08/2023
Type: Document
Sponsoring organization: National Academy for State Health Policy
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FY 2024 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule — CMS-1785-F and CMS-1788-F Fact Sheet
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2024 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the low-wage index hospital policy, Rural Emergency Hospitals (REHs) being allowed to receive Medicare Graduate Medical Education (GME) payments, changes to the rural wage index calculation methodology, and more.
Date: 08/2023
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) fiscal year 2024 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the low-wage index hospital policy, Rural Emergency Hospitals (REHs) being allowed to receive Medicare Graduate Medical Education (GME) payments, changes to the rural wage index calculation methodology, and more.
Date: 08/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Benefits and Challenges of Converting to a Rural Emergency Hospital
Podcast episode with Anson General Hospital's Chief Executive Office and Chief Nursing Officer regarding the hospital's transition to a Rural Emergency Hospital. Discusses changes to services offered, financial and operational impacts of the conversion, and what the local patient population thinks about the transition.
Date: 06/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode with Anson General Hospital's Chief Executive Office and Chief Nursing Officer regarding the hospital's transition to a Rural Emergency Hospital. Discusses changes to services offered, financial and operational impacts of the conversion, and what the local patient population thinks about the transition.
Date: 06/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Rural Hospitals and the New Rural Emergency Hospital Designation
An episode of the Exploring Rural Health podcast featuring Janice Walters, Chief Operating Officer for the Rural Health Redesign Center, home of the Rural Emergency Hospital Technical Assistance Center. Offers an overview of Medicare's Rural Emergency Hospital (REH) designation, which became available on January 1, 2023.
Date: 05/2023
Type: Audio
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Janice Walters, Chief Operating Officer for the Rural Health Redesign Center, home of the Rural Emergency Hospital Technical Assistance Center. Offers an overview of Medicare's Rural Emergency Hospital (REH) designation, which became available on January 1, 2023.
Date: 05/2023
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Big Changes with the New Rural Emergency Hospital Model
Podcast episode providing an overview of the Rural Emergency Hospital designation. Discusses the role of the Rural Emergency Hospital Technical Assistance Center and the types of support it provides.
Date: 04/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode providing an overview of the Rural Emergency Hospital designation. Discusses the role of the Rural Emergency Hospital Technical Assistance Center and the types of support it provides.
Date: 04/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Additional resources are available related to this guide. See the full list of resources by topic for:
Last Updated: 6/17/2024