Rural Health
News by Topic: Specialty care
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
CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request
Federal Register
Jun 16, 2026 - The Centers for Medicare & Medicaid Services is seeking comments on the following information collections: 1) Conditions of Coverage for Portable X-ray Suppliers and Supporting Regulations; and 2) Requirements Related to Surprise Billing; Part II. Comments are due by July 16, 2026.
Source: Federal Register
CMS: Medicare Program; Strengthening Oversight of Accrediting Organizations (AOs) and Preventing AO Conflicts of Interest, and Related Provisions
Federal Register
Jun 16, 2026 - Notice of final rule with comment period from the Centers for Medicare & Medicaid Services (CMS) establishing provisions to strengthen the oversight of Medicare national accrediting organizations by addressing conflicts of interest; establishing consistent standards, processes, and definitions; and updating the validation and performance standards systems. In addition, this rule revises the psychiatric hospital survey process, adds a limitation on terminated deemed providers and suppliers when reentering the program, and provides technical corrections for End-Stage Renal Disease (ESRD) facilities and Transplant Programs. This rule is effective June 16, 2027. Comments are due by August 17, 2026.
Source: Federal Register
Jun 10, 2026 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of the approval of the Commission on Laboratory Accreditation (COLA) as an accreditation organization for clinical laboratories under the Clinical Laboratory Improvement Amendments of 1988 (CLIA) program for the specialty of histocompatibility. This approval is applicable from July 10, 2026, to June 10, 2031.
Source: Federal Register
Jun 8, 2026 - Describes a recent study finding that a U.S. Veterans Administration (VA) telenephrology program improved mortality rates and increased guideline-directed medication prescriptions for veterans at rural VA clinics receiving treatment for chronic kidney disease. The program uses a hub-and-spoke system to connect rural veterans with specialized care. Notes additional research finding veterans are satisfied with telenephrology care.
Source: Military.com
CMS: Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model
Federal Register
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
May 27, 2026 - Describes a telehealth program connecting patients in New Hampshire and Vermont rural hospitals with neonatologists. Notes that nearly half of babies receiving a consult are able to stay at their local facility. Success of the program led to expanding into outpatient high-risk obstetrics care and fetal-maternal medicine services. Expansion into emergency obstetrics is also planned.
Source: HealthLeaders Media
May 13, 2026 - A new survey by the American Cancer Society Cancer Action Network (ACS CAN) highlights the challenges rural cancer patients face in accessing screening, finding affordable care, and arranging followup treatment. Patient navigation services help address barriers to care in rural areas and improve quality of care.
Source: American Cancer Society

