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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Health insurance

Aug 1, 2025 - Notice from the Centers for Medicare & Medicaid Services making a point of contact correction to the June 20, 2025 information collection.
Source: Federal Register
Aug 1, 2025 - Pre-publication notice of final rule from the Centers revising the hospital inpatient prospective payment system (IPPS) for operating and capital-related costs of acute care hospitals for fiscal year 2026. This rule also makes changes related to Medicare graduate medical education (GME) for teaching hospitals; updates payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals; updates and make changes to requirements for certain quality programs; and finalizes certain updates to the ONC Health Information Technology (IT) Certification Program among other things. These final rules are effective October 1, 2025.
Source: Federal Register
Aug 1, 2025 - Pre-publication notice of final rule from the Centers for Medicare & Medicaid Services (CMS) updating the skilled nursing facility (SNF) prospective payment system (PPS) payment rates for fiscal year 2026. Among other things, this rule updates the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program. These regulations are effective October 1, 2025.
Source: Federal Register
Jul 31, 2025 - Notice from the Centers for Medicare & Medicaid Services seeking comments on the following information collections: 1) Medicare Quality of Care Complaint Form; 2) Solicitation for Applications for Medicare Prescription Drug Plan 2027 Contracts; and 3) Annual Notice of Change and Evidence of Coverage for Applicable Integrated Plans in States that Require Integrated Materials. Comments are due by September 29, 2025.
Source: Federal Register
Jul 30, 2025 - Advisory notice from the Centers for Medicare and Medicaid Services to alert certain clinicians who are Qualifying APM participants (QPs) and have earned an Alternative Payment Model (APM) Incentive Payment that CMS does not have the current information needed to disburse the payment. Provides information to QPs on how to update their Medicare billing information so that CMS can disburse payments. All information should be sent to CMS by September 1, 2025.
Source: Federal Register
Jul 28, 2025 - The Centers for Medicare and Medicaid Services is seeking comments on the following information collections: 1) Medicare Geographic Classification Review Board Procedures and Criteria; 2) Part C and Part D Medicare Prescription Payment Plan Model Documents; and 3) Applicable Integrated Plan Coverage Decision Letter. Comments are due by August 27, 2025.
Source: Federal Register
Jul 28, 2025 - Notice of final rule from the Department of Defense (DOD) Defense Health Agency (DHA) finalizing provisions published in two interim final rules (IFRs) that temporarily added coverage for the treatment use of investigational drugs under U.S. Food and Drug Administration (FDA)-authorized expanded access (EA) programs when for the treatment of coronavirus disease 2019 (COVID-19) and permitted coverage of National Institute of Allergy and Infectious Disease (NIAID)-sponsored clinical trials for the treatment or prevention of COVID-19. Among other things, this rule discusses the DOD's decision not to make permanent the coverage of treatment use of investigational drugs under FDA EA programs while updating language for care associated with their administration and broadens the COVID-19 clinical trial benefit to include coverage of clinical trials sponsored or approved by any National Institutes of Health (NIH) Center or Institute to treat or prevent infectious diseases associated with a pandemic or epidemic. This rule is effective August 27, 2025.
Source: Federal Register
Jul 23, 2025 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of receipt of an application for continued recognition of the Accreditation Commission for Health Care as a national accrediting organization for Critical Access Hospitals that wish to participate in the Medicare or Medicaid programs. Comments are due by August 22, 2025.
Source: Federal Register
Jul 21, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the reinstatement of an information collection titled "Medicare and Medicaid Programs: Home Health Facilities (HHAs) and Supporting Regulations." The information collected is used to ensure that home health agencies comply with the Conditions of Participation. Comments are due by August 20, 2025.
Source: Federal Register
Jul 17, 2025 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) making changes to the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2026, including changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment systems. Among other updates, this rule also proposes updates related to the requirements for the Hospital Outpatient Quality Reporting Program, Rural Emergency Hospital Quality Reporting Program, Ambulatory Surgical Center Quality Reporting Program, Overall Hospital Quality Star Rating, and hospitals to make public their standard charge information and enforcement of hospital price transparency. Comments are due September 15, 2025.
Source: Federal Register