Rural Healthcare Payment and Reimbursement – News
News stories from the past 60 days.
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 15, 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
Jul 2, 2025 - 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 2026 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 modifying and terminating requirements for the ESRD Treatment Choices Model. Comments are due by August 29, 2025.
Source: Federal Register
GAO: Request for Nominations for the Physician-Focused Payment Model Technical Advisory Committee (PTAC)
Federal Register
Jun 16, 2025 - The Government Accountability Office (GAO) is accepting nominations for appointment to the Physician-Focused Payment Model Technical Advisory Committee (PTAC), which provides comments and recommendations to the Secretary of Health and Human Services on physician payment models. Nominations are due by July 15, 2025.
Source: Federal Register
Jun 5, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical and typographical errors in the April 30, 2025, proposed rule.
Source: Federal Register
Last Updated: 7/17/2025