Rural Health
News by Topic: Reimbursement and payment models
Jan 13, 2026 - Discusses the work of independent pharmacies in rural communities and the challenges that come when one closes. Highlights reasons for closures including workforce recruitment challenges and low reimbursement rates. Discusses recent Colorado legislation that aimed to ease burdens on rural pharmacies in the state.
Source: University of Colorado Anschutz Health Science News and Features
Jan 13, 2026 - Discusses reasons for labor and delivery department closures across Pennsylvania including challenges with recruiting and retaining obstetricians and gynecologists and low reimbursement rates for Medicare and Medicaid. Also notes poor health outcomes associated with maternal healthcare deserts. Describes potential solutions including increasing access to and the scope of practice for nurse midwives and certified midwives
Source: The Pennsylvania Independent
VA: Implementation of Section 120 of the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act
Federal Register
Jan 12, 2026 - Notice from the Department of Veterans Affairs (VA) implementing section 120 of the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act, which allows the VA to increase the expenditure cap for non-institutional care alternatives for eligible veterans. VA will now pay up to 100% of the nursing home rate in a fiscal year for all eligible veterans who need non-institutional care to improve continuity of care and patient outcomes. This guidance is effective September 11, 2025.
Source: Federal Register
Jan 8, 2026 - Notice from the Health Resources and Services Administration (HRSA) seeking comments on an information collection request titled "Enrollment and Re-Certification of Entities in the 340B Drug Pricing Program, OMB No. 0915-0327—Revision." HRSA requires covered entities to submit administrative information, certifying information, and attestation from appropriate grantee-level or entity-level authorizing officials and primary contacts in order to enroll and certify the eligibility of federally funded grantees and other safety net health care providers. Comments are due by February 9, 2026.
Source: Federal Register
Jan 7, 2026 - The Quality Payment Program is seeking feedback from the general public on the Merit-based Incentive Payment System (MIPS) Value Pathway (MVP) candidates for 2027. Feedback will be reviewed by the Centers for Medicare & Medicaid Services (CMS) for consideration in future rulemaking. Comments are due February 6, 2026.
Source: Quality Payment Program, Centers for Medicare & Medicaid Services
Jan 5, 2026 - Notice of proposed rule from the U.S. Department of Health and Human Services (HHS) proposing amendments the Child Care and Development Fund (CCDF) regulations. Among other things, this rule proposes rescinding the requirements added to the CCDF regulations in the March 2024 final rule, including limiting family co-payments to 7 percent of family income, providing some direct services through grants or contract, paying providers based on child's enrollment, and paying providers prospectively. Comments are due by February 4, 2026.
Source: Federal Register
Dec 29, 2025 - Announces the distribution of $50 billion of funding for the Rural Health Transformation Program. Highlights goals of the funding including making rural healthcare more accessible, strengthening the rural healthcare workforce, modernizing rural health infrastructure and technology, streamlining workflows, and testing innovative payment models.
Source: Centers for Medicare & Medicaid Services
Dec 29, 2025 - The Centers for Medicare & Medicaid Services announced the establishment of the Office of Rural Health Transformation (RHT). The office will oversee the RHT Program, an initiative to strengthen rural health systems and expand access to care nationwide.
Source: Centers for Medicare & Medicaid Services
CMS: Global Benchmark for Efficient Drug Pricing (GLOBE) Model
Federal Register
Dec 23, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on a proposed rule implementing the Global Benchmark for Efficient Drug Pricing Model ("GLOBE Model"), a new Medicare payment model under section 1115A of the Social Security Act. The GLOBE Model would test whether a payment model that uses an alternative method for calculating Part B inflation rebate amounts for certain separately payable Part B drugs and biological products reduces costs for Medicare fee-for service (FFS) beneficiaries and the Medicare program while preserving quality of care. Comments are due by February 23, 2026.
Source: Federal Register
CMS: Guarding U.S. Medicare Against Rising Drug Costs (GUARD) Model
Federal Register
Dec 23, 2025 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on a proposed rule implementing the Guarding U.S. Medicare Against Rising Drug Costs (GUARD) Model to test a new Medicare payment model under section 1115A of the Social Security Act. The model proposes a test of an alternative payment method for calculating inflation rebates for certain Part D drugs and biological products. The proposed GUARD Model would test whether changing the calculation of the Part D inflation rebate would reduce costs for the Medicare program while preserving or enhancing quality of care for Part D enrollees. Comments are due by February 23, 2026.
Source: Federal Register