Rural Health
Resources by Topic: Reimbursement and payment models
Medicare Promoting Interoperability Program: CY 2025 Hardship Exception Policy Fact Sheet
Provides information on the hardship exemptions for eligible hospitals and Critical Access Hospitals (CAHs) under the Medicare Promoting Interoperability Program. Includes information on how to apply for it in order to avoid negative payment adjustments.
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Provides information on the hardship exemptions for eligible hospitals and Critical Access Hospitals (CAHs) under the Medicare Promoting Interoperability Program. Includes information on how to apply for it in order to avoid negative payment adjustments.
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Oklahoma State Innovation Model (OSIM)
Reports on Oklahoma's State Innovation Model (SIM) grant efforts. The final draft of the State Health System Innovation Plan outlines Oklahoma's model for transforming state-purchased healthcare by linking reimbursement with care quality and health outcomes. Addresses the challenges rural regions may face with implementing the model and rural/urban differences throughout.
Additional links: Oklahoma State Health System Innovation Plan
Sponsoring organization: Oklahoma State Department of Health
view details
Reports on Oklahoma's State Innovation Model (SIM) grant efforts. The final draft of the State Health System Innovation Plan outlines Oklahoma's model for transforming state-purchased healthcare by linking reimbursement with care quality and health outcomes. Addresses the challenges rural regions may face with implementing the model and rural/urban differences throughout.
Additional links: Oklahoma State Health System Innovation Plan
Sponsoring organization: Oklahoma State Department of Health
view details
Eligible Clinician eCQMs
Features updated electronic clinical quality measures (eCQMs) and related resources for eligible clinicians participating in the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP), including the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs) programs.
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Features updated electronic clinical quality measures (eCQMs) and related resources for eligible clinicians participating in the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP), including the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs) programs.
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Small Rural Hospital Improvement Grant Program (SHIP)
Resources for hospitals related to value-based purchasing, Accountable Care Organizations, and payment bundling. Developed for hospitals participating in the Small Rural Hospital Improvement Grant Program (SHIP).
Sponsoring organization: National Rural Health Resource Center
view details
Resources for hospitals related to value-based purchasing, Accountable Care Organizations, and payment bundling. Developed for hospitals participating in the Small Rural Hospital Improvement Grant Program (SHIP).
Sponsoring organization: National Rural Health Resource Center
view details
Home Health Prospective Payment System Regulations and Notices
Lists federal regulations and notices related to the Home Health Prospective Payment System, including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Lists federal regulations and notices related to the Home Health Prospective Payment System, including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
List of Skilled Nursing Facility (SNF) Federal Regulations
Lists federal regulations and notices related to the Prospective Payment System (PPS) for Skilled Nursing Facilities (SNFs), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Lists federal regulations and notices related to the Prospective Payment System (PPS) for Skilled Nursing Facilities (SNFs), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
End-Stage Renal Disease (ESRD) Payment Regulations and Notices
Lists federal regulations and notices related to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Lists federal regulations and notices related to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Acute Inpatient Prospective Payment System (IPPS) Regulations and Notices
Lists federal regulations and notices related to the Acute Inpatient Prospective Payment System (IPPS), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Lists federal regulations and notices related to the Acute Inpatient Prospective Payment System (IPPS), including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Ambulatory Surgical Center (ASC) Regulations and Notices
Lists federal regulations and notices related to the Ambulatory Surgical Center (ASC) Payment System, including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Lists federal regulations and notices related to the Ambulatory Surgical Center (ASC) Payment System, including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Hospice Regulations and Notices
Lists federal regulations and notices related to Medicare hospice payment, including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
view details
Lists federal regulations and notices related to Medicare hospice payment, including information on annual payment rate updates. Contains copies of proposed and final rules, along with any relevant corrections, as published in the Federal Register.
Sponsoring organization: Centers for Medicare & Medicaid Services
view details