Long Term Acute Care Hospital (LTACH) Development

Murer Consultants is widely recognized as an expert in the entire arena of post-acute care. Murer has been a pioneer in the development of long-term acute care facilities, working with hospitals and health systems throughout the United States. Since 1990, Murer Consultants has been involved in the feasibility and development of more than 50 long-term acute care hospitals. Once developed, Murer Consultants assists its clients in the management and oversight of these facilities.

Long-term acute care hospitals have been part of the healthcare system since the early 1980′s. The moratorium that Congress placed on the establishment of new long-term acute care hospitals and satellites and the expansion of existing facilitiess sunsets on Sept. 30, 2017. Health providers may once again return to LTACH development. Murer Consultants stands ready to assist in project design, development and implementation.

Murer Consultants’ experience with LTACHs includes:

  • Feasibility Analysis and Program Development;
  • Medicare Certification and State Licensure;
  • Governance Structure;
  • Continuum of Care Systems Integration;
  • JCAHO Accreditation;
  • Regulatory Compliance;
  • Strategic Planning;
  • Site Selection; and
  • Physician Credentialing.

Feasibility Analysis

Murer Consultants focuses its analysis of the viability of LTACHs on five key areas:

  1. State and Federal Compliance;
  2. Governance Structure;
  3. Site Selection;
  4. Needs Analysis; and
  5. Financial Impact.

Murer Consultants will analyze and review data from acute-care hospitals to determine bed need and the financial impact of developing a long-term acute care hospital. Murer Consultants analyzes the data to confirm the bed need complement and patient volumes by diagnostic group.

Once Murer Consultants completes its analysis, formal recommendations are provided to the hospital or health system to assist with future development and implementation of strategic plans.


Murer Consultants reviews all applicable federal government statutes, regulations and requirements regarding the development and operation of the hospital. This review will include an analysis of the guidelines for Long Term Acute Care Hospital designation from the Center for Medicare and Medicaid (CMS). Murer structures the long-term care hospital in a manner to comply with applicable Federal laws and regulations, either as a freestanding or hospital within a hospital designation. Some of the key areas of development for Murer Consultants include:

  • Federal and state regulatory compliance;
  • Organizational structure;
  • Finance / reimbursement;
  • Bed allocation;
  • Product line structuring;
  • Facility space utilization;
  • Mock survey – Assure readiness for CMS certification and state licensure;
  • Orientation and educational work sessions with clinical staff and physicians; and
  • Case management integration.

Murer Consultants serves as a liaison with the Fiscal Intermediary to assure a smooth working relationship before and after exemption. Murer Consultants will also work with the architect and/or contractor regarding space configuration for compliance with federal hospital regulations. Additionally, Murer will help guide design for optimal marketing and programming positioning.

Murer Consultants will recommend an organizational management structure that complies with federal regulations and enhances productivity. Murer will promote an outcome-based philosophy among administrative and clinical staff.

Murer Consultants will provide consultation both on- and off-site throughout the project.


Once licensed as an acute care hospital and exempted as a long-term acute care hospital, Murer Consultants is available to assist clients in the management and/oversight of the LTACH. Murer Consultants can provide management with a focus on:

  • Regulatory Compliance;
  • Financial Management;
  • Clinical Program Development;
  • Census Monitoring; and
  • Case Management.

For more information on how Murer Consultants can assist your organization in developing its own long-term acute care hospital, please contact us at 708-478-7030.