Rural Healthcare Payment and Reimbursement – News
News stories from the past 60 days.
CMS: Medicare Program; Alternative Payment Model Updates and the Increasing Organ Transplant Access (IOTA) Model
Federal Register
Jun 1, 2026 - Notice of a final rule from the Centers for Medicare & Medicaid Services (CMS) updating and revising the Increasing Organ Transplant Access Model (IOTA Model) for Performance Year (PY) 2. The IOTA Model tests whether performance-based upside risk payments or downside risk payments paid to or owed by participating kidney transplant hospitals increase access to kidney transplants for patients with end-stage renal disease (ESRD) while preserving or enhancing the quality of care and reducing Medicare expenditures. This rule is effective July 1, 2026.
Source: Federal Register
May 22, 2026 - Notice from the Centers for Medicare & Medicaid Services making technical and typographical corrections to the April 14, 2026, proposed rule. Comments on the proposed rule are due by June 9, 2026.
May 21, 2026 - Announces proposed legislation to extend the Rural Community Hospital Demonstration (RCHD) Program for 5 more years. RCHD allows for innovative hospital payment models to support rural facilities.
Source: Office of Representative Randy Feenstra
Apr 30, 2026 - Announces proposed bipartisan legislation to extend the Rural Community Hospital Demonstration program 5 more years. RCHD allows for innovative hospital payment model testing under Medicare to maintain healthcare access for rural communities.
Source: Office of Senator Chuck Grassley
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