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Rural Health
News by Topic: Clinics

Jul 22, 2024 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2025. This proposed rule would also update and refine the requirements for the Hospital Outpatient Quality Reporting (OQR) Program, Rural Emergency Hospital Quality Reporting (REHQR) Program, ASC Quality Reporting (ASCQR) Program, and Hospital Inpatient Quality Reporting Program and proposes Conditions of Participation (CoPs) for hospitals and Critical Access Hospitals (CAHs) for obstetrical services. Among other things, this rule would request information on options being considered for future changes to the Overall Hospital Quality Star Rating methodology and further information related to a Tribal Technical Advisory Group request to apply the Indian Health Service encounter rate to all outpatient tribal clinics. This proposed rule would also provide exceptions to the Medicaid clinic services benefit four walls requirement for Indian Health Service and Tribal clinics, and, at state option, for behavioral health clinics and clinics located in rural areas. Comments are due by September 9, 2024.
Source: Federal Register
Jul 11, 2024 - The Centers for Medicare & Medicaid Services' proposed calendar year 2025 physician fee schedule rule includes new payments and coverage for digital health and telehealth services. The draft rule contains significant provisions for Rural Health Clinics and Federally Qualified Health Centers and gives opioid treatment programs more flexibility in their use of telehealth services.
Source: Fierce Healthcare
Jul 11, 2024 - Pre-publication notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) addressing: 1) changes to the Physician Fee Schedule and Medicare Part B payment policies; 2) policies for the Medicare Prescription Drug Inflation Rebate program under the Inflation Reduction Act of 2022; 3) updates to the Medicare Diabetes Prevention Program expanded model; payment for dental services inextricably linked to specific covered medical services; 4) updates to drugs and biological products paid under Part B including immunosuppressive drugs and clotting factors; 5) Medicare Shared Savings Program requirements; 6) updates to the Quality Payment Program; 7) Medicare coverage of opioid use disorder services furnished by opioid treatment programs; 8) updates to policies for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs); 9) electronic prescribing for controlled substances for a covered Part D drug under a prescription drug plan or an MA-PD plan; 10) updates to the Ambulance Fee Schedule regulations; 11) updates to Clinical Laboratory Fee Schedule regulations; 12) updates to the diabetes payment structure and COVID-19 public health emergency (PHE) flexibilities; 13) expansion of colorectal cancer screening and Hepatitis B vaccine coverage and payment; 14) establishing payment for drugs covered as additional preventive services; and 15) Medicare Parts A and B Overpayment Provisions of the Affordable Care Act. Comments are due by September 9, 2024.
Source: Federal Register
Jul 10, 2024 - A new telehealth study done by the Sault Ste. Marie Tribe of Chippewa Indians and Connected Nation Michigan provides insights into how tribal members use telehealth, what barriers exist, and attitudes toward telehealth. The study identifies ways tribal health clinics can expand telehealth efforts, identifies unmet demand, and addresses concerns that may prevent tribe members from adopting telehealth services.
Source: Connected Nation
Jul 10, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Rural Health Clinic Cost Report; 2) Part C Medicare Advantage Reporting Requirements; and 3) Transformed—Medicaid Statistical Information System (T-MSIS). Comments are due by September 9, 2024.
Source: Federal Register
Jun 18, 2024 - Outlines the role of Community Health Centers in expanding access to women's healthcare services in rural and other underserved areas of Tennessee. Notes that health centers offer services regardless of insurance status or the patient's ability to pay. Describes the services offered by two community health centers, including prenatal care, midwifery, delivery, and social services.
Source: Public News Service
Jun 11, 2024 - The Centers for Medicare and Medicaid Services is seeking comments on the following information collections: 1) Identification of Extension Units of Medicare Approved Outpatient Physical Therapy/Outpatient Speech Pathology (OPT/OSP) Providers and Supporting Regulations and 2) Conditions for Certification for Rural Health Clinics and Conditions for Coverage for Federally Qualified Health Centers in 42 CFR 491. Comments are due by July 11, 2024.
Source: Federal Register
Jun 4, 2024 - Profiles patients and staff at a Rural Health Clinic in Elberton, Georgia. Describes ongoing challenges in accessing care such as lack of transportation, and highlights the growing need for mental health services.
Source: NPR
May 30, 2024 - Describes the Accountable Care Organization (ACO) Primary Care (PC) Flex Model and offers the Request for Applications. Applications begin by applying to the Shared Savings Program due June 17th as well as submitting the ACO PC Flex Model application due August 1st. Outlines the full application process in Section III.
Source: Centers for Medicare & Medicaid Services, Centers for Medicare & Medicaid Innovation