Rural Health
News by Topic: Reimbursement and payment models

CMS Moves Closer to Accountable Care Goals with 2025 ACO Initiatives

Jan 15, 2025 - Discusses progress made by the Centers for Medicare & Medicaid Services (CMS) toward accountable care goals, highlighting accomplishments from the 2025 performance year. Notes participation numbers related to Federally Qualified Health Centers, Rural Health Clinics, Critical Access Hospitals for various CMS models.

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Washington's American Indian Health Commission Asks State to Cover Traditional Healing

Jan 15, 2025 - The Washington American Indian Health Commission has requested the state consider a federal waiver for Medicaid coverage of traditional Indigenous healing practices following waivers successfully obtained by 4 other states in 2024. Discusses health disparities in Native communities and the funding benefits tribal health clinics would get from the waiver.

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HHS: Physician-Focused Payment Model Technical Advisory Committee; Meetings Federal Register

Jan 14, 2025 - Notice from the U.S. Department of Health and Human Services (HHS) announcing the 2025 meetings of the Physician-Focused Payment Model Technical Advisory Committee (PTAC), which will include discussion and voting on proposals for physician-focused payment models (PFPMs). The 2025 meeting dates are: March 3-4, June 3-4, September 8-9, and December 9-10.

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Reducing Barriers to Participation in Population-Based Total Cost of Care (PB-TCOC) Models and Supporting Primary and Specialty Care Transformation: Request for Input

Jan 14, 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 February 7, 2025.

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CMS: Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities; Correcting Amendment Federal Register

Jan 13, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical and typographic corrections to the November 27, 2024, final rule. This correcting amendment is effective January 8, 2025, and is applicable beginning January 1, 2025.

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