Rural Healthcare Payment and Reimbursement – News
News stories from the past 60 days.
GAO: Request for Nominations for the Physician-Focused Payment Model Technical Advisory Committee (PTAC)
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.
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 22, 2026 - Notice from the Centers for Medicare & Medicaid Services making technical and typographical corrections to the April 14, 2026, proposed rule. Comments on the proposed rule are due by June 9, 2026.
May 21, 2026 - Announces proposed legislation to extend the Rural Community Hospital Demonstration (RCHD) Program for 5 more years. RCHD allows for innovative hospital payment models to support rural facilities.
Source: Office of Representative Randy Feenstra
Apr 30, 2026 - Announces proposed bipartisan legislation to extend the Rural Community Hospital Demonstration program 5 more years. RCHD allows for innovative hospital payment model testing under Medicare to maintain healthcare access for rural communities.
Source: Office of Senator Chuck Grassley
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