Congress Must Protect Rural Hospitals When Considering Site Neutral Payment Policy Changes

As Congress examines Medicare outpatient payments across different sites of service, the unique circumstances of rural hospitals, particularly Sole Community Hospitals and Medicare Dependent Hospitals, must be considered and protected.

SCHs, MDHs Should Be Equitably Reimbursed for Uncompensated Care

SCHs and MDHs paid on the basis of their hospital-specific rate should also receive a DSH payment adjustment and an uncompensated care pool allocation.

SCHs, MDHs Can Improve Rural Physician Shortages

SCHs and MDHs paid using their hospital-specific rate should receive IME adjustments to encourage these hospitals to localize resident training in rural areas.

Updating the Hospital Specific Payment Base Year for Medicare-Dependent and Sole Community Hospitals

When Congress established the Medicare-dependent Small Rural Hospital and Sole Community Hospital programs, it did so to ensure that these critical safety net providers would remain viable under the Inpatient Prospective Payment System (IPPS)…

Congress Should Fulfill the Intent of the 340B Program and Pass the Closing Loopholes for Orphan Drugs Act

Lawmakers should reintroduce the Closing Loopholes for Orphan Drugs Act, to ensure that RRCs and SCHs (as well as CAHs and cancer hospitals) benefit from the 340B Program to the extent that Congress intended, allowing these facilities to continue to provide rural communities with local access to important health care services.