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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Healthcare business and finance

Apr 1, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on an information collection Medicare Transaction Facilitator (MTF) for 2026 and 2027 under Sections 11001 and 11002 of the Inflation Reduction Act (IRA). The MTF will collect information from manufacturers of drugs covered under Medicare Part D selected will be used for negotiation under the Inflation Reduction Act for the initial price applicability years 2026 and 2027 and the dispensing entities that dispense the selected drugs to MFP-eligible individuals. Comments are due by May 1, 2025.
Source: Federal Register
Mar 25, 2025 -

Request for input regarding barriers to participation in population-based total cost of care (PB-TCOC) models from the Physician-Focused Payment Model Technical Advisory Committee (PTAC). Topics of interest include business decisions impacting participation for different organization types, streamlining models, and incentivizing participation for both primary and specialty care. Asks for feedback regarding types of organizations best positioned to serve rural and other communities. Comments can be emailed to PTAC@HHS.gov by April 18, 2025.

Source: Physician-Focused Payment Model Technical Advisory Committee, Office of the Assistant Secretary for Planning and Evaluation
Mar 21, 2025 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) Application for Enrollment in Medicare Part B (Medical Insurance); 2) Application for Medicare Part A and Part B Special Enrollment Period (Exceptional Circumstances); 3) Request for Enrollment in Supplementary Medical Insurance (SMI); 4) CMS Plan Benefit Package (PBP) and Formulary CY 2026; and 5) Dual Eligible Special Needs Plan Contract with the State Medicaid Agency. Comments are due by April 21, 2025.
Source: Federal Register
Mar 19, 2025 - Notice of proposed rule related to implementation of Patient Protection and Affordable Care Act and Health Insurance Marketplace. Among other things, this rule proposes revisions to standards relating to past-due premium payments; the evidentiary standard HHS uses to assess an agent's, broker's, or web-broker's potential noncompliance; income eligibility verifications for premium tax credits and cost-sharing reductions; annual eligibility redetermination; the annual open enrollment period; special enrollment periods; and more. Comments are due by April 11, 2025.
Source: Federal Register
Mar 10, 2025 -

Offers an overview of a proposed Centers for Medicare & Medicaid Services rule implementing changes to the Health Insurance Marketplaces. Changes include premium payment guidelines, enrollment, eligibility guidelines, services offered, and compliance regulation.

Source: Centers for Medicare & Medicaid Services
Feb 28, 2025 - Executive Order from the Office of the President directing the Secretaries of the Treasury, Labor, and Health and Human Services to take all necessary and appropriate action to implement and enforce the healthcare price transparency regulations related to Executive Order 13877 within 90 days. Among other things, this Executive Order directs the Secretaries to take actions to require the disclosure of the actual prices of items and services, not estimates; update guidance or proposed regulatory actions to ensure pricing information is standardized and easily comparable across hospitals and health plans; and issue guidance or proposed regulatory actions updating enforcement policies to ensure compliance with the transparent reporting of complete, accurate, and meaningful data.
Source: Federal Register
Feb 21, 2025 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of the approval of the Accreditation Commission for Health Care, Inc. (ACHC) for continued recognition as a national accrediting organization for home health agencies (HHAs) that wish to participate in the Medicare or Medicaid programs. This approval is applicable February 24, 2025, to February 24, 2031.
Source: Federal Register
Feb 21, 2025 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of the approval of the American Association for Accreditation of Ambulatory Surgery Facilities, dba QUAD A, for continued recognition as a national accrediting organization for outpatient physical therapy providers that wish to participate in the Medicare or Medicaid programs. This approval is applicable April 4, 2025, to April 4, 2030.
Source: Federal Register
Feb 19, 2025 - Quarterly listing of Centers for Medicare & Medicaid Services (CMS) manual instructions, substantive and interpretive regulations, and Federal Register notices published from October through December 2024, including contact information for general questions or additional information about specific sections.
Source: Federal Register
Feb 11, 2025 - Announcement from the Centers for Medicare & Medicaid Services (CMS) of receipt of an application for continued recognition of The Joint Commission as a national accrediting organization for hospitals that wish to participate in the Medicare or Medicaid programs. Comments are due by March 13, 2025.
Source: Federal Register