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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Health insurance

Jan 29, 2026 - Notice from the Department of Defense (DOD) Director of the Defense Health Agency (DHA) announcing adjustments to the certified labor doulas (CLDs) performing childbirth support services under the Childbirth and Breastfeeding Support Demonstration (CBSD). This notice announces changes to the reimbursement methodology for childbirth support services intended to stabilize reimbursement. DHA is modifying reimbursement for childbirth support services so that the rate approved for March 1, 2025, will be considered a "baseline." The DHA Director will approve a new baseline if it is found that TRICARE reimbursement is not keeping pace with Medicaid reimbursement. The new reimbursement methodology will be effective for rates beginning March 1, 2026.
Source: Federal Register
Jan 26, 2026 - Notice from the U.S. Department of Health and Human Services (HHS) announcing the 2026 meetings of the Physician-Focused Payment Model Technical Advisory Committee (PTAC), which will include discussion and voting on proposals for physician-focused payment models (PFPMs). The 2026 meeting dates are: February 23-24, June 15-16, September 14-15, and December 8-9.
Source: Federal Register
Jan 22, 2026 - Notice from the Indian Health Service (IHS) announcing the calendar year 2026 reimbursement rates for inpatient and outpatient medical care provided by IHS facilities to Medicare, Medicaid, and other federal program beneficiaries. The updated rates apply to all qualifying services provided on or after January 1, 2026.
Source: Federal Register
Jan 13, 2026 - Discusses reasons for labor and delivery department closures across Pennsylvania including challenges with recruiting and retaining obstetricians and gynecologists and low reimbursement rates for Medicare and Medicaid. Also notes poor health outcomes associated with maternal healthcare deserts. Describes potential solutions including increasing access to and the scope of practice for nurse midwives and certified midwives
Source: The Pennsylvania Independent
Jan 9, 2026 - The Government Accountability Office (GAO) is accepting nominations for appointment to the Medicare Payment Advisory Commission (MedPAC) by February 6, 2026. Appointments are effective May 2026.
Source: Federal Register
Jan 5, 2026 - Notice from the Health Resources and Services Administration (HRSA) announcing updates to the HRSA-supported Women's Preventive Services Guidelines relating to cervical cancer screening. For most non-grandfathered group health plans and health insurance issuers offering group or individual health insurance coverage, this update will take effect in 2027.
Source: Federal Register
Dec 23, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on a proposed rule implementing the Global Benchmark for Efficient Drug Pricing Model ("GLOBE Model"), a new Medicare payment model under section 1115A of the Social Security Act. The GLOBE Model would test whether a payment model that uses an alternative method for calculating Part B inflation rebate amounts for certain separately payable Part B drugs and biological products reduces costs for Medicare fee-for service (FFS) beneficiaries and the Medicare program while preserving quality of care. Comments are due by February 23, 2026.
Source: Federal Register
Dec 23, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on a proposed rule implementing the Guarding U.S. Medicare Against Rising Drug Costs (GUARD) Model to test a new Medicare payment model under section 1115A of the Social Security Act. The model proposes a test of an alternative payment method for calculating inflation rebates for certain Part D drugs and biological products. The proposed GUARD Model would test whether changing the calculation of the Part D inflation rebate would reduce costs for the Medicare program while preserving or enhancing quality of care for Part D enrollees. Comments are due by February 23, 2026.
Source: Federal Register
Dec 23, 2025 - Notice from the Internal Revenue Service (IRS), Department of the Treasury, Employee Benefits Security Administration (EBSA), Department of Labor (DOL), Centers for Medicare & Medicaid Services (CMS), and Department of Health and Human Services (HHS) seeking comments on a proposed rule amending regulations under the Public Health Service Act, the Employee Retirement Income Security Act of 1974, and the Internal Revenue Code regarding price transparency reporting requirements for non-grandfathered group health plans and health insurance issuers offering non-grandfathered group and individual health insurance coverage. These proposed rules would improve the standardization, accuracy, and accessibility of public pricing disclosures in line with the goals of the Executive Order 14221. Comments are due by February 23, 2026.
Source: Federal Register