Skip to main content
Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Reimbursement and payment models

Apr 21, 2026 - Describes psychiatrist workforce shortages in West Virginia following a recent report that the state has the lowest supply in the nation. Discusses drivers of the shortage, including reimbursement rates and administrative process, fewer people entering the field, and behavioral health disparities in the state.
Source: West Virginia Watch
Apr 20, 2026 - A private insurance company has announced a pilot program that exempts many rural providers from most prior authorization requirements, increases payment speeds, and introduces a hub-and-spoke model of care to connect rural communities with regional expertise. The program, initially available in 4 states, is expanding to an additional 5 states now.
Source: UnitedHealth Group Newsroom
Apr 17, 2026 - Notice from the Department of Defense (DOD) making corrections to the April 10, 2026, notice announcing the extension of the Childbirth and Breastfeeding Support Demonstration (CBSD) through December 31, 2031. This correction is effective April 17, 2026.
Source: Federal Register
Apr 16, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical corrections to the April 14, 2026, proposed rule. Comments on the proposed rule are due by June 9, 2026.
Source: Federal Register
Apr 14, 2026 - 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 2027. 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 April 10, 2026.
Source: Federal Register
Apr 10, 2026 - Notice from the Department of Defense (DOD) announcing the extension of the Childbirth and Breastfeeding Support Demonstration (CBSD) by five years, through December 31, 2031. The purpose of CBSD is to evaluate the cost, quality of care, and impact of covering the services of doulas and lactation consultants or counselors not otherwise authorized by TRICARE on maternal and fetal outcomes. This notice also seeks comments on CBSD and its potential integration into the TRICARE Basic benefit. Comments are due by May 11, 2026.
Source: Federal Register
Apr 8, 2026 - Describes challenges for family caregivers in rural communities where support and resources are limited. Discusses stress and financial strain for caregivers as well as funding needs.
Source: IW Features
Apr 7, 2026 - 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 2027. 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 1, 2026.
Source: Federal Register
Apr 7, 2026 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating the FY 2027 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. Among other things, this rule proposes refinement of the IPF PPS outlier policy, implementation of a standardized IPF patient assessment, and the removal of two measures used in the IPF Quality Reporting Program. Comments are due by June 1, 2026.
Source: Federal Register
Apr 6, 2026 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) revising the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare cost plan regulations. Among other things, this rule finalizes revisions related to Star Ratings, marketing and communications, drug coverage, enrollment processes, special needs plans, and other programmatic areas for contract year 2027. These regulations are effective June 1, 2026, and are applicable to coverage beginning January 1, 2027.
Source: Federal Register