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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Reimbursement and payment models

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.
Source: Centers for Medicare & Medicaid Services Newsroom
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.
Source: Native News Online
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.
Source: Federal Register
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.
Source: Physician-Focused Payment Model Technical Advisory Committee, Office of the Assistant Secretary for Planning and Evaluation
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.
Source: Federal Register
Jan 3, 2025 - Notice of proposed rule from the Department of Veterans Affairs (VA) proposing changes to its medical regulations to exempt Whole Health well-being services from the copayment requirements for inpatient hospital care and outpatient medical care. Comments are due by March 4, 2025.
Source: Federal Register
Dec 26, 2024 - Highlights the discontinuation of labor and delivery services in some rural Wyoming communities due to low demand. Discusses efforts to increase reimbursement rates for Medicaid births to help stabilize rural labor and delivery services. Notes the potential impacts of lower birth rates on the quality of care.
Source: Public News Service
Dec 26, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) seeking applications for 10 additional eligible hospitals to participate in the Rural Community Hospital demonstration program through June 30, 2028. The Rural Community Hospital demonstration program pays rural community hospitals for covered inpatient services under a cost-based methodology for Medicare payment for Medicare beneficiaries. Applications are due by March 1, 2025.
Source: Federal Register
Related funding: Rural Community Hospital Demonstration
Dec 23, 2024 - The Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) End Stage Renal Disease (ESRD) Conditions for Coverage and Supporting Regulations; and 2) Expanding Access to Women's Health Grant. Comments are due by February 21, 2025.
Source: Federal Register
Dec 20, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical corrections to the November 7, 2024, final rule. This correction is effective January 1, 2025.
Source: Federal Register