Focused on improving health equity in rural communities, Congress approved the REH designation in January 2023, through the Consolidated Appropriations Act of 2021. REH standards are closely aligned with the Critical Access Hospital (CAH) designation, which lessens rural hospitals’ financial vulnerability and enhances healthcare access by keeping key services in their communities. This is a new Medicare provider program created to improve hospital sustainability and offer greater patient access to healthcare services. This white paper explores the role of REHs, various trends impacting this model, implications of REHs, and key considerations involved in REH conversions.
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