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Rural Health Information Hub

Rural Health
News by Topic: Reimbursement and payment models

Sep 12, 2025 - Notice from the Health Resources and Services Administration (HRSA) seeking comments on a proposed information collection request related to the 340B Rebate Model Pilot Program. The information collected will include the collection of 340B Rebate Model Pilot Program plans from drug manufacturers, the collection of sales data from drug manufacturers for OPA's evaluation of the pilot program and for overall 340B Program surveillance, and the collection of data submitted by covered entities to manufacturers to request a rebate. Comments are due by November 12, 2025.
Source: Federal Register
Sep 10, 2025 - Notice from the Centers for Medicare & Medicare Services (CMS) announcing a virtual town hall meeting to be held on December 10-11, 2025, to discuss FY 2027 applications for add-on payments for new medical services and technologies under the Medicare Hospital Inpatient Prospective Payment System (IPPS). Information on how to join the meeting will be posted on the New Technology website. The deadline to register to present at the meeting is November 3, 2025. Written comments and agenda items for discussion at the meeting are due by November 13, 2025.
Source: Federal Register
Sep 5, 2025 - Blog post discussing the Rural Health Transformation Program. Provides an overview of the program and examples of early actions taken by governors. Identifies key stakeholder partners and critical policy areas related to rural health.
Source: National Governors Association
Sep 4, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) making typographical corrections to the August 5, 2025, final rule. This correction is effective October 1, 2025.
Source: Federal Register
Sep 2, 2025 - Announces changes to the Achieving Healthcare Efficiency through Accountable Design (AHEAD) Model beginning in January 2026 including the end date for all cohorts, payment reforms for patients with Original Medicare, and new requirements around total cost of care and primary care investment targets.
Source: Centers for Medicare & Medicaid Services
Aug 22, 2025 - Notice from the U.S. Department of Health and Human Services (HHS) announcing its intent to establish the Healthcare Advisory Committee, which will advise the Secretary of HHS and Administrator of the Centers for Medicare & Medicaid Services (CMS) on issues related to improving the operations and outcomes of federally administered healthcare insurance and payment programs. HHS is also requesting nominations for membership on the committee. Nominations are due by September 22, 2025.
Source: Federal Register
Aug 7, 2025 - Notice from the Health Resources and Services Administration (HRSA) correcting the August 1, 2025, announcement of the application process for the 340B Rebate Model Pilot Program and call for comments related to the structure and application process of the program. Drug manufacturer plans for participation in the 340B Rebate Model Pilot Program should be submitted 340BPricing@hrsa.gov by September 15, 2025. The program will start January 1, 2026, and run for 1 year. Comments are due September 8, 2025.
Source: Federal Register
Aug 7, 2025 - 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 October 6, 2025.
Source: Federal Register