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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Reimbursement and payment models

Jan 29, 2026 - Notice of proposed rulemaking from the Centers for Medicare & Medicaid Services (CMS) seeking comments on potential options for Medicare participating hospitals to help foster a more resilient supply chain for American-made personal protective equipment and essential medicines, as well as a possible new "Secure American Medical Supplies" friendly designation that could be earned by hospitals. Among other things, this notice also seeks input on a potential new structural quality measure as part of the Hospital Inpatient Quality Reporting (IQR) Program that could promote hospital commitments to invest in domestic procurement. Comments are due by March 30, 2026.
Source: Federal Register
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 of certified. 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 20, 2026 - Highlights a state-funded program offering charter flights for rural Hawaiians with off-island medical appointments. Describes current and projected funding needs for sustainability, physician shortages in rural areas, reimbursement rate challenges driving workforce shortages, and the state's Rural Health Transformation Program plans.
Source: Honolulu Civil Beat
Jan 13, 2026 - Discusses the work of independent pharmacies in rural communities and the challenges that come when one closes. Highlights reasons for closures including workforce recruitment challenges and low reimbursement rates. Discusses recent Colorado legislation that aimed to ease burdens on rural pharmacies in the state.
Source: University of Colorado Anschutz Health Science News and Features
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 12, 2026 - Notice from the Department of Veterans Affairs (VA) implementing section 120 of the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, which allows the VA to increase the expenditure cap for non-institutional care alternatives for eligible veterans. VA will now pay up to 100% of the nursing home rate in a fiscal year for all eligible veterans who need non-institutional care to improve continuity of care and patient outcomes. This guidance is effective September 11, 2025.
Source: Federal Register
Jan 8, 2026 - Notice from the Health Resources and Services Administration (HRSA) seeking comments on an information collection request titled "Enrollment and Re-Certification of Entities in the 340B Drug Pricing Program, OMB No. 0915-0327—Revision." HRSA requires covered entities to submit administrative information, certifying information, and attestation from appropriate grantee-level or entity-level authorizing officials and primary contacts in order to enroll and certify the eligibility of federally funded grantees and other safety net health care providers. Comments are due by February 9, 2026.
Source: Federal Register
Jan 7, 2026 - The Quality Payment Program is seeking feedback from the general public on the Merit-based Incentive Payment System (MIPS) Value Pathway (MVP) candidates for 2027. Feedback will be reviewed by the Centers for Medicare & Medicaid Services (CMS) for consideration in future rulemaking. Comments are due February 6, 2026.
Source: Quality Payment Program, Centers for Medicare & Medicaid Services