Rural Healthcare Payment and Reimbursement – News

CMS: Medicare Program: Alternative Payment Model Updates and the Increasing Organ Transplant Access Model Federal Register

May 17, 2024 - 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 by July 16, 2024.

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CMS: Medicare and Medicaid Programs and the Children's Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes Federal Register

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.

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