Rural Health
News by Topic: Reimbursement and payment models
CMS: Medicare Program; FY 2027 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
Federal Register
Apr 6, 2026 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating the hospice wage index, payment rates, and aggregate cap amount for fiscal year 2027. Among other things, this rule proposes conforming regulation text changes to discharge from hospice care regulations; regulation text changes to the face-to-face encounter regulations; and includes requests for information on community palliative care services, the construction of a hospice specific wage index, and the overlap between hospice and medical aid in dying (MAID). This rule also includes an analysis of Medicare non-hospice spending and proposes changes to the Hospice Quality Reporting Program. Comments are due by June 1, 2026.
Source: Federal Register
Apr 6, 2026 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) seeking comments on updates to the prospective payment system (PPS) for inpatient rehabilitation facilities (IRFs) for fiscal year 2027. Among other things, this rule proposes classification and weighting factors for the IRF prospective payment system's case-mix groups, continues the third year of the 3-year phase-out of the rural adjustments, and includes proposals for the IRF Quality Reporting Program. CMS also seeks comments on alternative data sources for the IRF PPS wage index, potential future IRF PPS payment reform, and more. Comments are due June 1, 2026.
Source: Federal Register
Mar 26, 2026 - Highlights the Rural Health Agenda, a bipartisan and bicameral group of proposed legislation aiming to support rural hospitals through increased Medicare reimbursement, introduce new funding to promote innovation in rural emergency healthcare, and incentivize rural communities for healthcare workers through extended loan repayment programs.
Source: Office of Senator Marsha Blackburn
Mar 15, 2026 - Discusses pharmacist-led point-of-care testing as a strategy to increase access to acute care in rural areas. Notes challenges in advancing that strategy including insurance reimbursement and regulations.
Source: Drug Topics
Mar 12, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical corrections to the November 5, 2025, final rule. This correction is effective March 12, 2026.
Source: Federal Register
Mar 12, 2026 - Notice of final rule from the Indian Health Service (IHS) announcing the Catastrophic Health Emergency Fund (CHEF) threshold for fiscal year 2026. The purpose of the CHEF is to meet the extraordinary medical costs associated with the treatment of victims of disasters or catastrophic illnesses who are within the responsibility of IHS.
Source: Federal Register
Mar 10, 2026 - Highlights the increased cost of healthcare for rural Vermont residents due to Medicare reimbursement policy for Critical Access Hospitals. Notes that policymakers are investigating solutions that equitably distribute cost while supporting CAHs that may be negatively impacted by budget changes.
Feb 26, 2026 - Notice from the Health Resources and Services Administration (HRSA) seeking comments on a proposed information collection request titled "340B Rebate Model Pilot Program Application, Implementation, and Evaluation, OMB No. 0906-XXXX." This information collection request includes the collection of proposed rebate model plans from qualifying drug manufacturers, the ongoing collection of sales data from drug manufacturers for program evaluation and 340B Program integrity and compliance monitoring, and the collection of data submitted by covered entities to manufacturers to request a rebate in connection with a potential 340B Rebate Model Pilot Program. Comments are due by April 27, 2026.
Source: Federal Register
Feb 26, 2026 - The Health Resources and Services Administration (HRSA) is allowing an additional 30 days for comments on the February 17, 2026, request for information regarding the potential use of rebates to effectuate the ceiling price under the 340B Program. Comments are now due by April 20, 2026.
Source: Federal Register
Feb 24, 2026 - Describes a value-based care program has been implemented in Texas. Discusses how many patients have been served, how rural is defined, rural healthcare challenges, and upcoming plans for the program.
Source: KBTX