Rural Emergency Hospitals: A Lifeline and Entry Point for Care

by Bruce Krider, MHA - American Healthcare Appraisal

Rural hospitals across the United States face unprecedented financial and operational challenges. Declining inpatient volumes, workforce shortages, and reimbursement pressures have left many facilities on the brink of closure. For communities that rely on these hospitals as their front door to care, the stakes could not be higher.

The Rural Emergency Hospital (REH) designation, effective January 1, 2023, offers a new pathway to preserve emergency and outpatient services. But REH is not the only option—and leaders must carefully evaluate alternatives to determine the best fit for their community.

🚑 The Alternatives for Rural Hospitals

1. Critical Access Hospital (CAH)

Overview: CAHs are small hospitals (≤25 beds) located in rural areas, reimbursed by Medicare on a cost-based system.

Pros:

  • Cost-based reimbursement stabilizes finances

  • Allows inpatient care, swing beds, and broad service offerings

  • Strong community identity as a “full hospital”

Cons:

  • Many hospitals no longer meet CAH eligibility criteria

  • Rising costs and declining inpatient volumes erode sustainability

  • Regulatory pressures make maintaining CAH status increasingly difficult

2. Rural Emergency Hospital (REH)

Overview: REHs provide 24/7 emergency services and outpatient care but no acute inpatient beds.

Pros:

  • Preserves emergency access for communities

  • Enhanced Medicare reimbursement for outpatient services

  • Monthly facility payment to stabilize finances

  • Flexibility to expand outpatient diagnostics, preventive care, and telehealth

Cons:

  • Loss of inpatient services may create care gaps

  • Requires strong transfer agreements with larger hospitals

  • Community perception challenges—patients may feel services are “downgraded”

3. Micro-Hospital or Freestanding Emergency Department

Overview: Small-scale facilities offering emergency and limited inpatient/outpatient services, often operated by larger health systems.

Pros:

  • Lower overhead compared to full hospitals

  • Can be strategically located to meet demand

  • Often backed by larger systems with resources

Cons:

  • May not qualify for federal support programs like REH

  • Limited scope of services

  • Requires significant capital investment and partnerships

4. Hospital Closure

Overview: Some facilities may choose to close entirely.

Pros:

  • Eliminates ongoing financial losses

Cons:

  • Devastating impact on community health and safety

  • Loss of jobs and economic stability

  • Longer travel times for emergency care, increasing mortality risk

⚖️ Comparing the Options

Model Emergency Services Inpatient Care Financial Support Community Impact CAH 24/7 ED Yes (≤25 beds) Cost-based reimbursement Strong, but eligibility shrinking REH 24/7 ED No (except SNF unit) Enhanced outpatient reimbursement + monthly payment Preserves emergency access, outpatient care Micro-Hospital 24/7 ED (limited) Limited beds Market-driven, not federally supported Dependent on partnerships Closure None None Eliminates losses Severe negative impact

🌍 The Path Forward

1. Conduct a Financial Feasibility Study

  • Compare CAH vs. REH reimbursement models

  • Assess outpatient demand and revenue potential

  • Model long-term sustainability under different scenarios

2. Engage the Community

  • Communicate clearly about what REH means

  • Emphasize that REHs are the entry point for emergency care and outpatient services

  • Hold town halls, publish FAQs, and involve local leaders in decision-making

3. Build Transfer Agreements

  • Partner with regional hospitals for inpatient care

  • Ensure seamless patient transfers to maintain continuity of care

  • Negotiate protocols for specialty services (cardiology, obstetrics, trauma)

4. Plan for Service Expansion

  • Explore outpatient diagnostics, preventive care, and telehealth

  • Position the REH as a hub for community health

  • Integrate behavioral health, chronic disease management, and wellness programs

5. Monitor Policy Developments

  • Stay informed on legislation that may expand REH capabilities (e.g., swing beds, obstetrics, 340B eligibility)

  • Track federal/state grants and workforce support programs

  • Advocate for rural health equity through associations and coalitions

📌 Additional Points Worth Addressing

  • Workforce Strategy: Recruiting and retaining nurses, physicians, and allied health professionals in rural areas

  • Technology Integration: Leveraging telehealth, remote monitoring, and digital health platforms to extend reach

  • Community Partnerships: Collaborating with schools, employers, and nonprofits to embed health services locally

  • Economic Impact: Hospitals as anchor institutions—loss or conversion affects housing, jobs, and local business

  • Risk Management: Preparing for natural disasters, pandemics, and supply chain disruptions in rural settings

  • Case Studies: Highlight successful REH conversions and lessons learned from early adopters

❓ Community FAQs

Q1: Will our hospital still have an emergency room if we convert to REH?
Yes. REHs are required to maintain a 24/7 emergency department, ensuring immediate access for urgent care.

Q2: What happens if I need to be admitted overnight?
REHs do not have acute inpatient beds. Patients requiring admission will be transferred to partner hospitals through established agreements.

Q3: Is this a downgrade for our community?
Not necessarily. While inpatient services are reduced, REHs expand outpatient care, diagnostics, and preventive services, often improving access to modern treatments.

Q4: How will this affect jobs?
Staffing models may shift, but outpatient expansion and telehealth can create new roles. Workforce planning is essential to minimize disruption.

Q5: What financial benefit does REH bring?
Hospitals receive enhanced reimbursement for outpatient services plus a monthly facility payment, stabilizing finances compared to declining inpatient revenue.

✅ Board & Leadership Checklist

Step 1: Financial Analysis

  • Compare CAH vs. REH reimbursement models

  • Project outpatient revenue potential

Step 2: Community Engagement

  • Host town halls and publish FAQs

  • Build trust through transparent communication

Step 3: Transfer Agreements

  • Formalize partnerships with regional hospitals

  • Ensure protocols for specialty care transfers

Step 4: Service Expansion

  • Add outpatient diagnostics, preventive care, and telehealth

  • Explore behavioral health and chronic disease programs

Step 5: Policy Monitoring

  • Track legislation on REH flexibility (swing beds, obstetrics, 340B)

  • Apply for grants and workforce support programs

✨ Conclusion

The REH designation is not a cure-all, but it is a lifeline. For many rural hospitals, it represents the only viable path to preserve emergency access and outpatient care. By investigating REH conversion now, leaders can ensure their communities retain a healthcare safety net and a front door to care—rather than facing the devastating consequences of closure.

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