Factors associated with Iowa rural hospitals' decision to convert to critical access hospital status

  • Li P
  • Ward M
  • Schneider J
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Abstract

The Balanced Budget Act (BBA) of 1997 allowed some rural hospitals meeting certain requirements to convert to Critical Access Hospitals (CAHs) and changed their Medicare reimbursement from prospective to cost-based. Some subsequent CAH-related laws reduced restrictions and increased payments, and the number of CAHs grew rapidly.

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