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Rural Emergency Hospitals
An unused gurney rests in the emergency room hallway outside one of the treatment rooms at the Alliance Healthcare System hospital in Holly Springs, Miss., Feb. 29, 2024. Rural emergency hospitals are starting to gain a small foothold in the United States. They provide 24/7 emergency care and receive more than $3 million in federal money a year. But the catch is there are zero inpatient beds at the facilities. (AP Photo/Rogelio V. Solis)

A new kind of hospital is coming to rural America. To qualify, facilities must close their beds

Rural emergency hospitals are starting to gain a small foothold in the United States

By DEVNA BOSE
Published - Mar 16, 2024, 08:57 AM ET
Last Updated - Mar 16, 2024, 08:57 AM EDT

As rural hospitals continue to struggle financially, a new type of hospital is slowly taking root, especially in the Southeast.

Rural emergency hospitals receive more than $3 million in federal funding a year and higher Medicare reimbursements in exchange for closing all inpatient beds and providing 24/7 emergency care. While that makes it easier for a hospital to keep its doors open, experts say it doesn’t solve all of the challenges facing rural health care.

People might have to travel further for treatments for illnesses that require inpatient stays, like pneumonia or COVID-19. In some of the communities where hospitals have converted to the new designation, residents are confused about what kind of care they can receive. Plus, rural hospitals are hesitant to make the switch, because there’s no margin of error.

“It’s ironic” that the facilities that might need the most help can’t afford to take the risk, said Carrie Cochran-McClain, chief policy officer at the National Rural Health Association. She pointed to having to give up certain services and benefits, such as a federal discount program for prescription drugs.

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