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Rural Health
News by Topic: Reimbursement and payment models

Feb 12, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical and typographical corrections to the November 16, 2023, final rule. This notice is effective February 12, 2024, and is applicable January 1, 2024.
Source: Federal Register
Feb 12, 2024 - The Department of Veterans Affairs (VA) will hold a virtual public meeting of the Advisory Committee on Tribal and Indian Affairs from February 27-29, 2024. The Committee will provide advice and guidance to the Secretary of Veterans Affairs on all matters relating to Indian tribes, tribal organizations, Native Hawaiian organizations, and Native American Veterans. The agenda will include, among other things, updates on the Native American Direct Loan Program; homeless programs; Choctaw Nation Behavioral Health/VA Staff Sergeant Fox Grant for suicide prevention, family counseling, women's domestic violence program; the Tribal Veteran Service Officer Representation Expansion Project; Reimbursement Agreement Program/Tribal Health Programs/Purchase Referred Care expansion; claims clinic events in Indian Country; and the VA Office of Connected Care.
Source: Federal Register
Feb 8, 2024 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) aiming to improve the electronic exchange of healthcare data and streamline processes related to prior authorization through new requirements for Medicare Advantage (MA) organizations, state Medicaid fee-for-service (FFS) programs, state Children's Health Insurance Program (CHIP) FFS programs, Medicaid managed care plans, CHIP managed care entities, and Qualified Health Plan issuers on the Federally-facilitated Exchanges. This final rule will also add new measures for eligible hospitals and Critical Access Hospitals (CAHs) to report under the Medicare Promoting Interoperability Program and for Merit-based Incentive Payment System (MIPS) eligible clinicians to report under the MIPS Promoting Interoperability performance category. These regulations are effective April 8, 2024.
Source: Federal Register
Feb 7, 2024 - Interviews a midwife offering services in a rural Minnesota community with a labor and delivery department closure. Discusses the planning required to travel multiple hours in order to give birth, insurance considerations, and home birth as a solution for limited access to care.
Source: MPR News
Feb 6, 2024 - The Department of Veterans Affairs (VA) will hold a virtual public meeting of the Advisory Committee on Tribal and Indian Affairs from February 27-29, 2024. The Committee will provide advice and guidance to the Secretary of Veterans Affairs on all matters relating to Indian tribes, tribal organizations, Native Hawaiian organizations, and Native American Veterans. The agenda will include, among other things, updates on the Native American Direct Loan Program; homeless programs; Choctaw Nation Behavioral Health/VA Staff Sergeant Fox Grant for suicide prevention, family counseling, women's domestic violence program; the Tribal Veteran Service Officer Representation Expansion Project; Reimbursement Agreement Program/Tribal Health Programs/Purchase Referred Care expansion; claims clinic events in Indian Country; and the VA Office of Connected Care.
Source: Federal Register
Feb 2, 2024 - Announces new legislation to increase Medicare reimbursements for rural hospitals in Hawaii and Alaska performing outpatient procedures for older adults. The legislation is meant to recognize the higher costs of living in Alaska and Hawaii and ensure continued access to care for the older adults living in those areas.
Source: Office of Senator Lisa Murkowski
Jan 30, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on all aspects of data related to the MA program, including data not currently collected. CMS is especially interested in data-related recommendations related to beneficiary access to care, including provider directories and networks; prior authorization and utilization management, including denials of care and beneficiary experience with appeals processes as well as use and reliance on algorithms; cost and utilization of different supplemental benefits; all aspects of MA marketing and consumer decision-making; care quality and outcomes, including value-based care arrangements and health equity; and special populations such as individuals dually eligible for Medicare and Medicaid, individuals with end-stage renal disease (ESRD), and other enrollees with complex conditions. Comments are due by May 29, 2024.
Source: Federal Register
Jan 29, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Rebate Reduction Requests under Sections 11101 and 11102 of the Inflation Reduction Act; 2) Identifying Medicaid Payment for Physician Administered Drugs; and 3) Application to be a Qualified Entity to Receive Medicare Data for Performance Measurement/Reapplication/Annual Report Worksheet. Comments are due by March 29, 2024.
Source: Federal Register