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…
Jun 24, 2020
A National Quality Forum task force released a report identifying opportunities to advance safe, appropriate, person-centered care over the next decade.
Jun 22, 2020
The Centers for Medicare & Medicaid Services released the first annual report evaluating the Bundled Payments for Care Improvement Advanced Model.
Jun 17, 2020
Eligible hospitals that wish to apply to participate in the Medicare Direct Contracting Model but have not yet submitted a nonbinding letter of intent may do so before they apply for the first performance year, the Centers for Medicare & Medicaid Services announced.
Jun 5, 2020
Eligible hospitals can apply through July 6 to participate in the Medicare Direct Contracting Model, which will offer two primary care payment options for hospitals beginning next April.
Jun 3, 2020
The Center for Medicare and Medicaid Innovation today announced several COVID-19-related modifications to current and future CMMI alternative payment models.
Jun 3, 2020
The Center for Medicare and Medicaid Innovation (CMMI) today announced several COVID-19 related modifications to current and future CMMI alternative payment models (APMs). The adjustments are captured in a summary table and are related to the models’ financial methodologies, quality reporting…
May 19, 2020
The Centers for Medicare & Medicaid Services released early stakeholder insights from its Accountable Health Communities Model.
May 11, 2020
The Centers for Medicare & Medicaid Services issued a final rule that implements the standards governing health insurance issuers and the Health Insurance Marketplaces (or “exchanges”) for 2021.
May 7, 2020
A federal district court in Washington, D.C., heard oral argument in the AHA’s legal challenge to the Centers for Medicare & Medicaid Services’ final rule mandating that hospitals disclose their privately negotiated charges with commercial health insurers.