Rural Healthcare Payment and Reimbursement – News
News stories from the past 60 days.
Apr 20, 2026 - A private insurance company has announced a pilot program that exempts many rural providers from most prior authorization requirements, increases payment speeds, and introduces a hub-and-spoke model of care to connect rural communities with regional expertise. The program, initially available in 4 states, is expanding to an additional 5 states now.
Source: UnitedHealth Group Newsroom
Apr 16, 2026 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical corrections to the April 14, 2026, proposed rule. Comments on the proposed rule are due by June 9, 2026.
Source: Federal Register
Apr 14, 2026 - Notice of a proposed rule from the Centers for Medicare & Medicaid Services (CMS) regarding changes to the hospital inpatient prospective payment system (IPPS) for operating and capital-related costs of acute care hospitals for fiscal year 2027. Contains details of proposed changes related to Medicare graduate medical education (GME) for teaching hospitals; payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals; and certain quality programs, among other things. Comments are due by April 10, 2026.
Source: Federal Register
Apr 6, 2026 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) revising the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare cost plan regulations. Among other things, this rule finalizes revisions related to Star Ratings, marketing and communications, drug coverage, enrollment processes, special needs plans, and other programmatic areas for contract year 2027. These regulations are effective June 1, 2026, and are applicable to coverage beginning January 1, 2027.
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 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 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.