Rural Healthcare Payment and Reimbursement – News
News stories from the past 60 days.
Oct 6, 2026 - Discusses the mixed results of the Pennsylvania Rural Health Model, an experimental payment structure program that aimed to stabilize the finances of rural hospitals. Explores what worked and what did not, how the COVID-19 pandemic impacted the program, lessons learned about rural hospital reimbursement, and how community resources and services can impact hospital stability.
Source: WHYY
CMS: Global Benchmark for Efficient Drug Pricing (GLOBE) Model
Federal Register
Oct 2, 2026 - Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) 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 Original Medicare fee-for-service (FFS) beneficiaries and the Medicare program while preserving quality of care. This rule also summarizes and responds to comments received on the December 23, 2025, proposed rule, including the potential impact of this model on small rural hospitals. These regulations are effective November 30, 2026.
Source: Federal Register
Sep 29, 2026 - Notice from the Centers for Medicare & Medicaid Services making technical and typographical corrections to the August 4, 2026, final rule. These corrections are effective October 1, 2026.
Source: Federal Register
Aug 26, 2026 - Highlights the agenda for MedPAC meetings in 2026-2027. Topics to be discussed include Medicare Part D spending, the enrollment process, quality measurement and value-based payment programs, cost-sharing liability for Rural Health Clinics, the impact of converting a hospital to Rural Emergency Hospital (REH) status, reimbursement rates including for REHs, and Medicare Advantage (MA). Offers recommendations for engaging with the group and information on scheduled publications.
Source: MedPAC News