Skip to main content
RSS

Rural Health
News by Topic: Reimbursement and payment models

HHS: Meetings Announcement for the Physician-Focused Payment Model Technical Advisory Committee Required by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Federal Register
Feb 5, 2018 - Notice from the U.S. Department of Health and Human Services (HHS) announcing the 2018 meetings of the Physician-Focused Payment Model Technical Advisory Committee (PTAC). All meetings are open to the public, will include voting and deliberations on proposals for physician-focused payment models, and will be held in the Great Hall of the Hubert H. Humphrey Building in Washington, D.C.
Source: Federal Register
view details
CMS: Medicare Program; Request for Nominations to the Advisory Panel on Hospital Outpatient Payment Federal Register
Jan 26, 2018 - Notice from the Centers for Medicare and Medicaid Services (CMS) requesting nominations to fill vacancies on the Advisory Panel on Hospital Outpatient Payment. The Panel advises the Secretary of HHS and the Administrator of CMS on the clinical integrity of the Ambulatory Payment Classification (ACP) group and their associated weights, and supervision of hospital outpatient therapeutic services. Panel members must be full-time employees of hospitals, hospital systems, or other Medicare providers that are subject to the OPPS. Some of the panel members must be from rural regions and/or represent Critical Access Hospitals (CAHs). Two vacancies will occur in calendar year 2018 and nominations are accepted on an ongoing basis.
Source: Federal Register
view details
GAO: Request for Medicaid and CHIP Payment and Access Commission Nominations Federal Register
Jan 16, 2018 - The Government Accountability Office (GAO) is requesting nominations for new members to the Medicaid and CHIP Payment and Access Commission (MACPAC). MACPAC reviews Medicaid and CHIP access and payment policies, and advises Congress on issues affecting Medicaid and CHIP. Nominations are due by February 5, 2018, and appointments take effect May 1, 2018.
Source: Federal Register
view details
CMS Announces New Payment Model to Improve Quality, Coordination, and Cost-effectiveness for Both Inpatient and Outpatient Care
Jan 9, 2018 - The Centers for Medicare and Medicaid Services (CMS) Innovation Center announced a new voluntary bundled payment model under which providers can earn additional payment, beyond that for individual services performed, if all expenditures for a beneficiary's episode of care are under a spending target. This Bundled Payments for Care Improvement Advanced (BPCI Advanced) model is intended to support investment in practice innovation and care redesign for improved quality and reduced expenditures. BPCI Advanced will qualify as an Advanced Alternative Payment Model (Advanced APM) under the Quality Payment Program.
Source: Centers for Medicare and Medicaid Services
view details
Hogan Administration, Centers for Medicare & Medicaid Services Announce Extension of Maryland’s All-Payer Hospital Model
Jan 8, 2018 - The Centers for Medicare and Medicaid Services (CMS) and the state of Maryland announced a one year extension of Maryland's All-Payer Hospital Model Contract to allow CMS to complete its review and to consider additional data through the end of 2017.
Source: Office of Maryland Governor Larry Hogan
view details
IHS: Reimbursement Rates for Calendar Year 2018 Federal Register
Jan 5, 2018 - Notice from the Indian Health Service (IHS) announcing the calendar year 2018 reimbursement rates for inpatient and outpatient care provided to Medicare and Medicaid beneficiaries by IHS facilities. The updated rates apply to all qualifying services provided on or after January 1, 2018.
Source: Federal Register
view details
Rural Hospitals Will Suffer From Fine Print in Medicaid Deal
Jan 5, 2018 - Discusses Texas' Medicaid Wavier, which allows the state the partially privatize Medicaid and contains $25 billion for Texas hospitals, but will slowly phase out funding sent to hospitals for uncompensated care and Medicaid shortfalls. This has sparked concern for rural hospitals' financial viability.
Source: Texas Observer
view details
2019 Medicare Advantage Part I Advance Notice – Risk Adjustment
Dec 27, 2017 - The Centers for Medicare and Medicaid (CMS) have released Part I of the 2019 Advance Notice of Methodological Changes for Medicare Advantage Capitation Rates and Part D Payment Policies, which also contains information about the proposed updates to the Part C Risk Adjustment Model and the use of encounter data. Comments on these proposals will be accepted through March 2, 2018.
Source: Centers for Medicare & Medicaid Services
view details
CMS: Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs; Correction Federal Register
Dec 27, 2017 - Corrects several technical errors that were printed in a December 14, 2017, final rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) Payment System for calendar year 2018. The original final rule and listed corrections take effect January 1, 2018.
Source: Federal Register
view details