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The Critical Access Hospital program is a United States federal program established in 1997 as part of the Balanced Budget Act. The program aims to offer small hospitals in rural areas to serve residents that would otherwise be a long distance from emergency care. As of January 2018, there are 1,343 certified Critical Access Hospitals in 45 states.
Paradoxically, just when the nation achieved its goal of 4.5 community hospital beds per 1,000 population in 1980, as envisioned under the Hill–Burton Act program, the government concluded that the Medicare and Medicaid programs were no longer sustainable due to the rapid rise in health care costs.
In the fiscal year 2021, the hospital revenue was $1,371,166 million. [19] As of 2021, the hospital had a total of 415 licensed beds: 206 medical/surgical beds, 48 adult intensive care beds, 57 pediatric beds, 50 pediatric and neonatal intensive care beds, 34 post-partum beds, 20 adult psychiatric beds, and 24 infant bassinets. [20]
Healthcare spending in the U.S. was distributed as follows by type of service in 2014: Hospital care 32%; physician and clinical services 20%; prescription drugs 10%; and all other, including many categories individually making up less than 7% of spending. These first three categories accounted for 62% of spending. [5]
The Balanced Budget Act of 1997 (Pub. L. 105–33 (text), 111 Stat. 251, enacted August 5, 1997) was an omnibus legislative package enacted by the United States Congress, using the budget reconciliation process, and designed to balance the federal budget by 2002. This act was enacted during Bill Clinton's second term as president.
The alternate special exception method is for urban hospitals with more than 100 hospital beds that can demonstrate that more than 30 percent of their total net inpatient care revenues, other than Medicare or Medicaid, come from state and local government sources for indigent care, such as for medically indigent adults. [citation needed]
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Healthcare spending in the U.S. was distributed as follows in 2014: Hospital care 32%; physician and clinical services 20%; prescription drugs 10%; and all other, including many categories individually making up less than 5% of spending. These first three categories accounted for 62% of spending. [3] Important differences include: