Rural Health
News by Topic: Reimbursement and payment models
May 19, 2025 - Pre-publication notice from the Centers for Medicare & Medicaid Services (CMS) making a correction to the April 30, 2025, proposed rule.
May 16, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical and typographic corrections to the December 9, 2024, final rule and the December 30, 2024, correcting amendment. The corrections and correcting amendment are effective May 16, 2025, and applicable beginning January 1, 2025.
Source: Federal Register
Apr 30, 2025 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) regarding changes to the hospital inpatient prospective payment system (IPPS) for operating and capital-related costs of acute care hospitals for fiscal year 2026. Contains details of proposed changes related to Medicare graduate medical education (GME) for teaching hospitals; payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals; and certain quality programs, among other things. Comments are due by June 10, 2025.
Source: Federal Register
Apr 30, 2025 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) that would update the skilled nursing facility (SNF) prospective payment system (PPS) payment rates for fiscal year 2026. Among other things, this rule includes proposals to update the requirements for the SNF Quality Reporting Program and the SNF Value-Based Purchasing Program. Comments are due by June 30, 2025.
Source: Federal Register
CMS: Medicare Program; FY 2026 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update
Federal Register
Apr 30, 2025 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating the FY 2026 prospective payment rates, outlier threshold, and wage index for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPF), including psychiatric hospitals and excluded psychiatric units of an acute care hospital or Critical Access Hospital. Includes a proposed revision to the payment adjustment factors for teaching status and for IPFs in rural areas. This proposed rule also proposes changes to measures used in the Inpatient Psychiatric Facilities Quality Reporting (IPFQR) Program and changes to update and codify the Extraordinary Circumstances Exception policy. Among other things, this rule seeks comments regarding potential future revisions to the IPFQR Program. Comments are due by June 10, 2025.
Source: Federal Register
Apr 30, 2025 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) seeking comments on updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2026. Among other things, this rule proposes classification and weighting factors for the IRF prospective payment system's case-mix groups, continues the second year of the 3-year phase-out of the rural adjustments, and includes proposals for the IRF Quality Reporting Program. Comments are due by June 10, 2025.
Source: Federal Register
Mar 25, 2025 -
Request for input regarding barriers to participation in population-based total cost of care (PB-TCOC) models from the Physician-Focused Payment Model Technical Advisory Committee (PTAC). Topics of interest include business decisions impacting participation for different organization types, streamlining models, and incentivizing participation for both primary and specialty care. Asks for feedback regarding types of organizations best positioned to serve rural and other communities. Comments can be emailed to PTAC@HHS.gov by April 18, 2025.
Source: Physician-Focused Payment Model Technical Advisory Committee, Office of the Assistant Secretary for Planning and Evaluation