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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Healthcare business and finance

Feb 11, 2026 - An evaluation of the Pennsylvania Rural Health Model, describing changes intended to improve care quality, increase access to preventive services, and address local community health needs.
Source: Heath Affairs
Feb 11, 2026 - Notice of proposed rule from the Centers for Medicare & Medicaid Services presenting methods to improve the implementation of the Patient Protection and Affordable Care Act, including payment parameters and provisions related to the HHS-operated risk adjustment and risk adjustment data validation (HHS-RADV) programs. Among other things, this proposed rule also contains 2027 user fee rates for qualified health plans (QHPs) through Federally-facilitated Exchanges (FFEs) and State-based Exchanges on the Federal platform (SBE-FPs). Comments are due March 13, 2026.
Source: Federal Register
Feb 10, 2026 - The Centers for Medicare & Medicaid Services is seeking comments on the Medical Loss Ratio (MLR) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP) in order to determine is MLRs meet the statutory standard of a minimum of 85%. Comments are due April 13, 2026.
Source: Federal Register
Feb 9, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on a new matching program between CMS and the Social Security Administration (SSA) titled "Determining Enrollment or Eligibility for Insurance Affordability Programs Under the Patient Protection and Affordable Care Act." This matching program will provide CMS with information for determining individuals' eligibility for enrollment in a Qualified Health Plan, issuing certificates of exemption, and eligibility redeterminations and renewals. Comments are due by March 11, 2026.
Source: Federal Register
Feb 6, 2026 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers; 2) 13th SOW Quality Innovation Network—Quality Improvement Organization (QIN-QIO) and American Indian Alaskan Native (AIAN) Measure Data Collection; and 3) Conditions of Participation for Psychiatric Residential Treatment Facilities' (PRTFs) Use of Restraint & Seclusion. Comments are due by March 9, 2026.
Source: Federal Register
Feb 4, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on the reinstatement of an information collection titled "Requirements Related to Surprise Billing; Part II." This information collection has two components: 1) good faith estimates and 2) certification and recertification of SDR entities. Comments are due by April 6, 2026.
Source: Federal Register
Feb 4, 2026 - Describes proposed policy to increase emergency medical service (EMS) reimbursement rates in Kentucky. Highlights long response times across the state, particularly for rural residents, and the strain that underfunding puts on EMS workforce.
Source: Kentucky Lantern
Feb 3, 2026 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP); and 2) Complaints Submission Process under the No Surprises Act. Comments are due by March 5, 2026.
Source: Federal Register
Feb 2, 2026 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) closing a loophole in a regulatory statistical test applied to State proposals for Medicaid tax waivers. The loophole allows some healthcare-related taxes, especially taxes on managed care organizations, to be imposed at higher tax rates on Medicaid taxable units than non-Medicaid taxable units. This rule adds additional safeguards to ensure that tax waivers that exploit the loophole are not approved. This final rule also summarizes comments CMS received in response to the proposed rule, including the impact of changes to healthcare-related tax revenues on rural providers. These regulations are effective April 3, 2026.
Source: Federal Register
Feb 2, 2026 - Announces a new learning network from the National Academy for State Health Policy offering state level officials a forum for sharing approaches for strengthening rural primary care systems. Discussions will include recent relevant federal policy, workforce, facilities, funding, technology, and administration. Includes an interest form to learn more.
Source: National Academy for State Health Policy