Current & Emerging Payment Models

The Centers for Medicare & Medicaid Services’ Innovation Center released a strategic plan to guide its health care payment and delivery models and priorities over the next decade.
Health Resources and Services Administration officials Sept. 9 at 3 p.m. ET will conduct a webinar on which they will answer questions on the Provider Relief Fund reporting requirements. On the webinar, which is being conducted exclusively for AHA members, HRSA officials will discuss PRF portal…
As strongly advocated by the AHA, the Centers for Medicare & Medicaid Services (CMS) today announced that it is rescinding prior audit denials for hospitals that had failed to qualify for the “mid-build exception” so that the agency can review the determinations.
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…
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.
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.
AHA raised “substantial concerns” with the prototype payment model that the Centers for Medicare…
ABILITY can help identify more active insurance coverage, including secondary and tertiary policies, and highlight patient eligibility for programs like Medicaid.  Identifying the appropriate payers at patient intake can help make denial management a thing of the past and secure your hospital’s…
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.
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…