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Rural Health Information Hub
Rural Health Information Hub

Rural Health
News by Topic: Reimbursement and payment models

Apr 23, 2024 - Discusses an increase in dental deserts, particularly in rural communities due to workforce shortages and limited Medicaid reimbursements for dental care. Highlights a trend in Federally Qualified Health Centers to integrate dental care into primary care.
Source: The Week
Apr 22, 2024 - Offers review of a new rule from the Centers for Medicare & Medicaid Services regarding staffing minimums in nursing homes. The new standard is expected to require most nursing homes to increase staff. Discusses the rural-specific timeline for meeting the standard in addition to the impact on wages, workforce shortages, and Medicaid reimbursement.
Source: KFF Health News
Apr 22, 2024 - Discusses recent research finding the shortage of primary care physicians is greater in rural areas. Includes analysis of findings by study authors, discussing rural-specific needs, Medicare reimbursement, and recruiting rural residents into healthcare.
Source: The Daily Yonder
Apr 11, 2024 - Pre-publication notice of 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 2025. Contains details of proposed changes impacting Medicare graduate medical education (GME) for teaching hospitals and payment policies and the annual payment rates for the Medicare prospective payment system (PPS) for inpatient hospital services provided by long-term care hospitals, among other things. Comments are due by June 10, 2024.
Source: Federal Register
Apr 10, 2024 - Notice from the Centers for Medicare & Medicaid Services (CMS) making technical corrections to the August 7, 2023, final rule. This notice is effective April 10, 2024, and is applicable October 1, 2023.
Source: Federal Register
Apr 10, 2024 - Announces proposed bipartisan legislation modifying regulations for Critical Access Hospitals (CAHs) in mountainous areas. Legislation would allow ambulatory services with enhanced Medicare payments as well as protecting CAH designation when a new facility is constructed within 15 miles.
Source: Office of Senator Joe Manchin
Apr 10, 2024 - Discusses the need for mental health services in schools and how states around the country have used Medicaid reimbursement to fund those services. Notes recent policy changes that have made this possible and highlights challenges that remain in using Medicaid reimbursement, particularly for rural school districts.
Source: The Commonwealth Fund
Apr 5, 2024 - Discusses challenges with offering ambulance services in rural Minnesota including reimbursement and funding models, a volunteer workforce, and large service areas.
Source: MPR News
Apr 4, 2024 - 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 2025. Includes proposals regarding changes to the Hospice Quality Reporting Program; the adoption of the most recent Office of Management and Budget statistical area delineations, which would change the hospice wage index; clarifications to current policy related to the "election statement" and the "notice of election;" and clarifying language regarding hospice certification. Among other things, this rule seeks comments regarding the potential implementation of a separate payment mechanism to account for high-intensity palliative care services. Includes rural considerations throughout. Comments are due by May 28, 2024.
Source: Federal Register
Apr 3, 2024 - Notice of proposed rule from the Centers for Medicare & Medicaid Services (CMS) updating the FY 2025 prospective payment rates, outlier threshold, and wage index for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPF), including psychiatric hospitals and excluded psychiatric units of an acute care hospital or Critical Access Hospital. Includes proposed revisions to the patient-level adjustment factors, the Emergency Department adjustment, and the payment amount for electroconvulsive therapy; and seeks to adopt a new quality measure and modify reporting requirements under the IPF Quality Reporting Program beginning with the FY 2027 payment determination. Seeks comments regarding potential future revisions to the IPF prospective payment system (PPS) facility-level adjustments and the development of a standardized IPF Patient Assessment Instrument. Comments are due by May 28, 2024.
Source: Federal Register