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Rural Health
News by Topic: Health insurance

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 - 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
Jul 9, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) CAHPS Hospice Survey and 2) Application for Part A (Hospital Insurance) and Part B (Medical Insurance) for People with End-Stage Renal Disease. Comments are due by August 8, 2024.
Source: Federal Register
Jul 8, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) making corrections to the June 25, 2024, information collection titled "Appointment of Representative and Supporting Regulations in 42 CFR 405.910." Comments are due by July 25, 2024.
Source: Federal Register
Jul 8, 2024 - Discusses challenges faced by Maine rural hospitals and describes facilities' creative solutions to staffing shortages, reduced reimbursements, and lower margins. Includes statistics on operating margins at select Maine hospitals.
Source: Mainebiz
Jul 5, 2024 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) making changes related to End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2025 and proposing updates to the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury (AKI). Among other things, this rule also proposes updated requirements for the Conditions for Coverage for ESRD facilities, the ESRD Quality Incentive Program, and the ESRD Treatment Choices Model. Comments are due by August 26, 2024.
Source: Federal Register
Jul 3, 2024 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating the home health payment rates for calendar year (CY) 2025. This rule also proposes changes to the Home Health Quality Reporting Program (HH QRP) requirements; provides an update on potential approaches for integrating health equity in the Expanded Health Value-Based Purchasing (HHVBP) Model; proposes a new standard for acceptance to service policy in the home health conditions of participation (CoPs); proposes rebasing and revising the home health market basket; and proposes updates to provider and supplier enrollment requirements and changes to the long-term care reporting requirements for acute respiratory illnesses, among other things. Also includes requests for information seeking input on permitting rehabilitative therapists to conduct the initial and comprehensive assessment and the factors that may influence the patient referral and intake processes. Comments are due by August 26, 2024.
Source: Federal Register
Jul 3, 2024 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) proposing policies for assessing performance year (PY) 2023 financial performance of Medicare Shared Savings Program (Shared Savings Program) Accountable Care Organizations (ACOs) in light of significant, anomalous, and highly suspect (SAHS) billing activity for selected intermittent urinary catheters on Medicare Durable Medical Equipment, Prosthetics, Orthotics & Supplies (DMEPOS) claims. Among other things, rule proposes benchmarks for ACOs starting agreement periods in 2024, 2025, and 2026; and financial calculations used in the application cycle for ACOs applying to enter a new agreement period beginning on January 1, 2025, and the change request cycle for ACOs continuing their participation in the program for PY 2025. Comments are due by July 29, 2024.
Source: Federal Register
Jul 1, 2024 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) and Office of the National Coordinator for Health Information Technology (ONC) implementing the provision of the 21st Century Cures Act specifying that a healthcare provider determined by the U.S. Department of Health and Human Services (HHS) Inspector General to have committed information blocking shall be referred to the appropriate agency to be subject to appropriate disincentives. This rule also establishes disincentives for certain healthcare providers that have been determined to have committed information blocking. This rule is effective July 31, 2024.
Source: Federal Register
Jun 28, 2024 - Washington Senator Maria Cantwell cosponsored legislation aiming to increase rural hospitals' reimbursements through Medicaid, in order to help keep maternity wards open in rural Washington communities. The legislation would give rural hospitals and hospitals with a high percentage of births among Medicaid patients a 150% Medicaid reimbursement rate.
Source: Northwest Public Broadcasting