Rural Health
News by Topic: Reimbursement and payment models
Public Inspection: CMS: Medicare Program: Alternative Payment Model Updates and the Increasing Organ Transplant Access Model
Federal Register
May 9, 2024 - Pre-publication notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) describing a new mandatory Medicare payment model, the Increasing Organ Transplant Access Model (IOTA Model). The IOTA Model would test whether performance-based incentive 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 proposed rule also describes standard provisions for CMS Innovation Center (CMMI) models relating to beneficiary protections, cooperation in model evaluation and monitoring, audits and records retention, rights in data and intellectual property, monitoring and compliance, and more. These standard provisions would apply to any CMMI model whose first performance period begins on or after January 1, 2025, and in whole or in part to any CMMI model whose first performance period began before January 1, 2025. Comments are due within 60 days of the publication of this notice, which is scheduled for May 17, 2024.
Source: Federal Register
May 7, 2024 - Provides an overview of new legislation aimed at improving healthcare access, with a focus on rural and underserved areas. Details six bills addressing a range of issues including telehealth access, rural hospital stabilization, and healthcare workforce shortages.
Source: House Committee on Ways and Means
May 2, 2024 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) regarding changes to the hospital inpatient prospective payment system (IPPS) for operating and capital-related costs of acute care hospitals for fiscal year 2025. Contains details of proposed changes impacting Medicare graduate medical education (GME) for teaching hospitals and payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals, among other things. Comments are due by June 10, 2024.
Source: Federal Register
May 1, 2024 - Details legislation introduced by a group of U.S. Representatives which aims to indefinitely extend reimbursement of telehealth services provided by Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Discusses impacts of telehealth services on rural patients and providers.
Source: The Center Square
Apr 30, 2024 - Notice of final rule from the U.S. Department of Veterans Affairs (VA) amending its medical regulations regarding Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) coverage. This rule removes the exclusion of audio-only telehealth visits. This rule also removes quantitative limitations on outpatient mental health visits and cost-sharing requirements for contraceptive services and contraceptive products approved, cleared, or granted by the U.S. Food and Drug Administration (FDA). This rule is effective May 30, 2024.
Source: Federal Register
Apr 26, 2024 - Profiles two Indigenous doulas in New Mexico. Discusses challenges with growing the profession related to training costs, lack of culturally relevant training, and limited or no insurance reimbursement. Notes that Medicaid reimbursements will be available beginning in July.
Source: New Mexico In Depth
Apr 23, 2024 - Discusses an increase in dental deserts, particularly in rural communities due to workforce shortages and limited Medicaid reimbursements for dental care. Highlights a trend in Federally Qualified Health Centers to integrate dental care into primary care.
Source: The Week
Apr 22, 2024 - Offers review of a new rule from the Centers for Medicare & Medicaid Services regarding staffing minimums in nursing homes. The new standard is expected to require most nursing homes to increase staff. Discusses the rural-specific timeline for meeting the standard in addition to the impact on wages, workforce shortages, and Medicaid reimbursement.
Source: KFF Health News
Apr 22, 2024 - Discusses recent research finding the shortage of primary care physicians is greater in rural areas. Includes analysis of findings by study authors, discussing rural-specific needs, Medicare reimbursement, and recruiting rural residents into healthcare.
Source: The Daily Yonder
Apr 10, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical corrections to the August 7, 2023, final rule. This notice is effective April 10, 2024, and is applicable October 1, 2023.
Source: Federal Register