QHR Health News

QHR Health Urges Congress to Bolster Rural Hospitals

Calls for extension of Medicare-dependent Hospital (MDH) and enhanced Low-volume Adjustment (LVA) programs

BRENTWOOD, TN– QHR Health, a leading shared service solutions provider for independent hospitals and health systems nationwide, urges Congress to extend the Medicare-dependent Hospital (MDH) and enhanced Low-volume Adjustment (LVA) programs. Slated to expire on September 30, 2022, these programs protect the financial viability of small, rural hospitals to ensure rural Americans can continue to access care in their community.

“It’s precisely the wrong time to deprive rural hospitals of much-needed MDG and LVA funds,” said Brendan Rokke, QHR Health Chief Strategy Officer. “As KaufmanHall reported in August 2022, American hospitals and health systems continue to be challenged by supply chain disruptions, inflation, labor shortages and more and, as a result, are experiencing some of the worst margins since the beginning of the COVID-19 pandemic.”

Legislation is pending in Congress to extend these programs: The US Senate bill is the Rural Hospital Support Act (S.4009), and the U.S. House bill is the Assistance for Rural Community Hospitals (ARCH) Act (H.R.8747).

As the American Hospital Association (AHA) noted, Medicare pays most acute care hospitals under the inpatient prospective payment system (IPPS). Some of these hospitals receive additional support from Medicare – the MDH, LVA and the Sole Community Hospital programs – to help address potential financial challenges associated with being rural, geographically isolated and low volume. Data compiled by AHA shows the failure to extend the MDH and LVA programs will cause many rural and critical access hospitals to lose $500,000 to $1.5+ million in fiscal year 2023.

To learn more, see: https://www.aha.org/fact-sheets/2022-08-30-fact-sheet-rural-hospital-support-act-s4009-assistance-rural-community. To contact your Congressional delegation to advocate for this important legislation, click here.


 At QHR Health, our focus is strengthening independent community healthcare. For more than 40 years, QHR Health has collaborated with independent hospitals and health systems to ensure that people in communities, ranging from small towns to larger population centers, have local access to quality healthcare services. Through our portfolio of tech-enabled shared services, QHR Health helps independent hospitals outperform their peers in financial, operational and quality metrics through leverage and economies of scale. To learn how, visit QHR.com (https://qhr.com) or connect with us on LinkedIn and Twitter.