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Rural Health
News by Topic: Reimbursement and payment models

Jul 9, 2026 - Describes an air medical response nonprofit program in Montana that aims to bring emergency medical care to residents in remote parts of the state. Discusses how the group manages Montana's geographic and weather challenges, costs associated with equipment and training, and its membership model.
Source: NBC Montana
Jul 8, 2026 - The Centers for Medicare & Medicaid Services (CMS) will hold a virtual meeting of the Advisory Panel on Hospital Outpatient Payment on August 24, 2026. The purpose of the Panel is to advise the Secretary on the clinical integrity of the Ambulatory Payment Classification groups and their associated weights, which are major elements of the Medicare Hospital Outpatient Prospective Payment System and the Ambulatory Surgical Center payment system, and supervision of hospital outpatient therapeutic services. The agenda and information on how to join the meeting will be posted on the Panel's website. Presentations and comment letters are due by July 31, 2026.
Source: Federal Register
Jul 7, 2026 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) making changes to the Medicare Hospital Outpatient Prospective Payment System (OPPS) and the Medicare Ambulatory Surgical Center (ASC) payment system for calendar year 2027, including changes to the amounts and factors used to determine the payment rates for Medicare services paid under the OPPS and those paid under the ASC payment systems. Among other things, this rule also proposes updates related to the requirements for the Hospital Outpatient Quality Reporting Program and Ambulatory Surgical Center Quality Reporting Program; requests information regarding potential approaches to improve comparability and standardization of the HPT information reported in machine-readable files and consumer-friendly displays, particularly for complex contracting methodologies; and announces notices of closure of teaching hospitals and opportunities to apply for available slots. Comments are due by August 31, 2026.
Source: Federal Register
Jul 6, 2026 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating the home health payment rates for calendar year (CY) 2027. This rule also proposes changes to the Home Health Quality Reporting Program (HH QRP) and summarizes potential initiatives to improve alignment between the HH QRP and the expanded Health Value-Based Purchasing (HHVBP) Model requirements. Among other things, this proposed rule discusses the provision of home health palliative care services and includes a request for information (RFI) on a home health specific wage index. Comments are due by August 31, 2026.
Source: Federal Register
Jul 6, 2026 - Notice from the U.S. Department of Defense announcing a new demonstration project titled "TRICARE Demonstration Project for Pre-Hospital Blood Transfusion Ambulance Add-On Reimbursement," also called the "TRICARE PHBT Demonstration" or "PHBTD." This five-year demonstration will test the effectiveness of providing separate, unbundled add-on reimbursement to the TRICARE ambulance fee schedule for the cost of medically necessary blood products and professional services administered by authorized ambulance providers in a pre-hospital setting. The PHBTD will be effective January 1, 2027, and will conclude on December 31, 2031.
Source: Federal Register
Jul 2, 2026 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Submissions of Acute Hospital Care at Home (AHCAH) Waiver Submission and Data Collection; 2) Clinical Laboratory Improvement Amendments (CLIA) Regulations; and 3) Granting and Withdrawal of Deeming Authority to Private Nonprofit Accreditation Organizations and CLIA Exemption Under State Laboratory Programs. Comments are due by August 3, 2026.
Source: Federal Register
Jun 30, 2026 - Highlights common rural hospital healthcare delivery challenges as identified by Wisconsin hospital CEOs. Discusses nursing workforce shortages, employee burnout, reimbursement rates, cybersecurity, artificial intelligence, home health, Medicare Advantage, and maintaining inpatient care access.
Source: Farm Progress: Wisconsin Agriculturist
Jun 29, 2026 - Describes proposed legislation that makes changes to the 340B Drug Pricing Program and requests feedback on the proposal. Comments are due by August 28, 2026.
Source: U.S. Senate Committee on Health, Education, Labor, and Pensions
Jun 26, 2026 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) making changes related to End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for calendar year 2027 and proposing updates to the payment rate for renal dialysis services furnished by an ESRD facility to individuals with acute kidney injury (AKI). Among other things, this rule also proposes updated requirements for the ESRD Quality Incentive Program and includes requests for information (RFI) to inform future policies related to increasing home dialysis uptake, improving palliative dialysis, and supporting alternative dialysis schedules. Comments are due by August 24, 2026.
Source: Federal Register
Jun 22, 2026 - Notice from the Health Resources and Services Administration (HRSA) correcting the total number of responses listed in the June 15, 2026, notice.
Source: Federal Register