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Rural Health Information Hub

Rural Health
News by Topic: Reimbursement and payment models

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
Jul 2, 2026 - Pre-publication 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 2, 2026 - Pre-publication 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
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
Jun 15, 2026 - Notice from the Health Resources and Services Administration (HRSA) seeking comments on a proposed information collection request (ICR) titled "340B Rebate Model Pilot Program Application, Implementation, and Evaluation, OMB No. 0906-NEW." HRSA's Office of Pharmacy Affairs (OPA) intends to introduce a revised 340B Rebate Model Pilot Program (Pilot) as a mechanism for qualifying drug manufacturers, who wish to participate, to effectuate the 340B ceiling price on a limited set of drugs sold to covered entities using rebates. This ICR includes the collection of proposed rebate model plans from qualifying drug manufacturers, the ongoing collection of sales data from drug manufacturers to allow OPA to monitor implementation of the Pilot and enhance 340B program integrity and compliance monitoring, and the collection of data submitted by covered entities to manufacturers to request a rebate under a potential Pilot. Comments are due by July 15, 2026.
Source: Federal Register
Jun 8, 2026 - The Government Accountability Office (GAO) is accepting nominations for the Physician-Focused Payment Model Technical Advisory Committee (PTAC). Committee members provide comments and recommendations to the Secretary of Health and Human Services (HHS) on physician payment models. Nominations are due July 13, 2026.
Jun 1, 2026 - Notice of a final rule from the Centers for Medicare & Medicaid Services (CMS) updating and revising the Increasing Organ Transplant Access Model (IOTA Model) for Performance Year (PY) 2. The IOTA Model tests whether performance-based upside risk payments or downside risk payments paid to or owed by participating kidney transplant hospitals increase access to kidney transplants for patients with end-stage renal disease (ESRD) while preserving or enhancing the quality of care and reducing Medicare expenditures. This rule is effective July 1, 2026.
Source: Federal Register