Intro: The purpose of this research was
to investigate the financial experience of Low Volume
Hospitals (LVHs) in comparison to other rural hospitals.
Methods: Descriptive and bivariate
statistics (non-parametric equality of medians, Wilcoxon
rank-sum, t-test and chi-square) were used to identify
rural LVHs, compare rural LVH characteristics to those of
rural non-LVHs, and to simulate the potential
profitability consequences of changes to the LVH program.
Results: Based on this analysis, only
one percent of current LVHs would continue to qualify for
the LVH adjustment under the 2005 standards.
Conclusion: Without additional action
from policymakers, the ACA LVH program will expire on
October 1, 2017, and the program will revert to the
original 2005 standards. Allowing the LVH program to
revert to the 2005 standards is likely to have a negative
financial impact on LVHs and could impair access to care
for Medicare beneficiaries residing in more isolated