Rural Healthcare Payment and Reimbursement – News
News stories from the past 60 days.
HHS: Request for Nominations of Members To Serve on the Healthcare Advisory Committee
Federal Register
Aug 22, 2025 - Notice from the U.S. Department of Health and Human Services (HHS) announcing its intent to establish the Healthcare Advisory Committee, which will advise the Secretary of HHS and Administrator of the Centers for Medicare & Medicaid Services (CMS) on issues related to improving the operations and outcomes of federally administered healthcare insurance and payment programs. HHS is also requesting nominations for membership on the committee. Nominations are due by September 22, 2025.
Source: Federal Register
Aug 14, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical and typographical corrections to the July 16, 2025, proposed rule.
Source: Federal Register
Aug 4, 2025 - Notice of final rule from the Centers revising the hospital inpatient prospective payment system (IPPS) for operating and capital-related costs of acute care hospitals for fiscal year 2026. This rule also makes changes related to Medicare graduate medical education (GME) for teaching hospitals; updates payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals; updates and make changes to requirements for certain quality programs; and finalizes certain updates to the ONC Health Information Technology (IT) Certification Program among other things. These final rules are effective October 1, 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
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
Last Updated: 8/22/2025