Rural Health
News by Topic: Reimbursement and payment models
Jul 30, 2025 - Advisory notice from the Centers for Medicare and Medicaid
Services to alert certain clinicians who are Qualifying APM
participants (QPs) and have earned an Alternative Payment
Model (APM) Incentive Payment that CMS does not have the
current information needed to disburse the payment.
Provides information to QPs on how to update their Medicare
billing information so that CMS can disburse payments. All
information should be sent to CMS by September 1, 2025.
Source: Federal Register
CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Federal Register
Jul 28, 2025 - The Centers for Medicare and Medicaid Services is seeking comments on the following information collections: 1) Medicare Geographic Classification Review Board Procedures and Criteria; 2) Part C and Part D Medicare Prescription Payment Plan Model Documents; and 3) Applicable Integrated Plan Coverage Decision Letter. Comments are due by August 27, 2025.
Source: Federal Register
Jul 25, 2025 - Highlights the Rural Health Transformation Program, part of
the One Big Beautiful Bill Act.
Source: The White House
Jul 17, 2025 - 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 2026, 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 updates, this
rule also proposes updates related to the requirements for
the Hospital Outpatient Quality Reporting Program, Rural
Emergency Hospital Quality Reporting Program, Ambulatory
Surgical Center Quality Reporting Program, Overall Hospital
Quality Star Rating, and hospitals to make public their
standard charge information and enforcement of hospital
price transparency. Comments are due September 15, 2025.
Source: Federal Register
CMS: Medicare Program; Announcement of the Advisory Panel on Hospital Outpatient Payment Meeting-August 25, 2025
Federal Register
Jul 17, 2025 - The Centers for Medicare & Medicaid Services (CMS) will
hold a virtual meeting of the Advisory Panel on Hospital
Outpatient Payment on August 25, 2025. 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 August 1, 2025.
Source: Federal Register
Jul 16, 2025 - Notice of a proposed rule from the Centers for Medicare &
Medicaid Services (CMS) addressing: 1) changes to the
Physician Fee Schedule and Medicare Part B payment
policies; 2) policies for the Medicare Prescription Drug
Inflation Rebate Program under the Inflation Reduction Act
of 2022; 3) the Ambulatory Specialty Model; 4) updates to
the Medicare Diabetes Prevention Program expanded model; 5)
updates to drugs and biological products paid under Part B;
6) Medicare Shared Savings Program requirements; 7) updates
to the Quality Payment Program; 8) updates to policies for
Rural Health Clinics (RHCs) and Federally Qualified Health
Centers (FQHCs); 9) updates to the Ambulance Fee Schedule
regulations; 10) codification of the Inflation Reduction
Act and Consolidated Appropriations Act, 2023 provisions;
and 11) updates to the Medicare Promoting Interoperability
Program. Comments are due on September 12, 2025.
Source: Federal Register
CMS: Agency Information Collection Activities: Proposed Collection; Comment Request
Federal Register
Jul 14, 2025 - The Centers for Medicare and Medicaid Services is seeking comments on the following information collections: 1) Medicare Current Beneficiary Survey; and 2) Review Choice Demonstration for Home Health Services. Comments are due by September 12, 2025.
Source: Federal Register
Jul 11, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) correcting a date in the July 9, 2025, notice.
Source: Federal Register
Jul 9, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) correcting a date in the July 2, 2025, proposed rule.
Source: Federal Register
CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Federal Register
Jul 3, 2025 - Notice from the Centers for Medicare & Medicaid Services seeking comments on the extension of an information collection titled "Medicare Participating Physician or Supplier Agreement." By signing the agreement to participate in Medicare, the physician, supplier, or their authorized official agrees to accept the Medicare-determined payment for Medicare covered services as payment in full and to charge the Medicare Part B beneficiary no more than the applicable deductible or coinsurance for the covered services. Comments are due by August 4, 2025.
Source: Federal Register