Current & Emerging Payment Models

Dec 4, 2018
The AHA, jointly filed a lawsuit against the Department of Health and Human Services for finalizing a policy to phase-in a reduction in payments for hospital outpatient clinic visit services furnished in off-campus provider-based departments that are grandfathered under Section 603 of the…
Sep 2, 2021
It is imperative that Congress invest in America’s hospitals and health systems to ensure that the nation’s health care needs can be met today and into the future. The AHA supports investments in infrastructure, such as the health care workforce, behavioral health, the accessibility and…
Sep 2, 2021
The American Hospital Association (AHA) would like to share hospital and health system priorities that would benefit patients and communities around the country that we would like to see included in the upcoming budget reconciliation legislation.
Aug 31, 2021
Hoping to prevent patients from delaying or not getting needed care, Pennsylvania-based Geisinger has introduced a customizable zero-interest artificial intelligence (AI)-enabled payment plan for out-of-pocket medical expenses.
Aug 24, 2021
AHA raised “substantial concerns” with the prototype payment model that the Centers for Medicare…
Aug 3, 2021
If there is a silver lining in the pandemic, it’s that it rapidly accelerated hospital-at-home programs. HaH programs can sharply reduce costs while maintaining quality and safety levels and lowering readmissions with improved patient experience.
Jul 27, 2021
The Honorable Chiquita Brooks-LaSure Administrator Centers for Medicare & Medicaid Services Hubert H. Humphrey Building 200 Independence Avenue, S.W., Room 445-G Washington, DC 20201 RE: Patient Protection and Affordable Care Act; Updating Payment Parameters, Section 1332 Waiver Implementing…
Jun 21, 2021
This webinar will provide insights into new models of care delivery and payment, and the measurement of success. Speakers will discuss how hospitals and community-based organizations can work together to ensure better value and health outcomes to individuals seeking care.
Jun 11, 2021
The Health Care Payment Learning and Action Network has created an advisory team to help identify and prioritize opportunities to advance health equity through alternative payment models and inform its priorities and initiatives.
Jun 8, 2021
Some employers are moving away from offering traditional coverage with a provider network and instead are using reference-based pricing for some or all of services they cover. Under reference-based pricing, the employer (supported by a third party administrator [TPA] or other vendor) pays a set a…