Current & Emerging Payment Models
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.
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.
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…
Effective immediately, Medicare will pay $750 to administer monoclonal antibodies to COVID-19 patients in their residence or temporary lodging and increase payment to administer them in most other care settings to $450 from $310 to better align payment with provider costs, the Centers for Medicare…
The Centers for Medicare & Medicaid Services has selected 61 applicants for the Value in Opioid Use Disorder Treatment Demonstration, a four-year Medicare payment model beginning this month for selected health care providers who agree to participate.
Fifty-three organizations began participating April 1 in the first performance year of the Global and Professional Direct Contracting Model, the Center for Medicare and Medicaid Innovation announced.
The Centers for Medicare & Medicaid Services issued a proposed rule to update hospice payment rates for fiscal year 2022. CMS proposes a 2.3% ($530 million) net increase to payments, compared to FY 2021.
The Centers for Medicare & Medicaid Services issued a proposed rule to update skilled nursing facility payment rates for fiscal year 2022.
The Community Health Access and Rural Transformation Model will not seek applications from accountable care organizations until next spring, the Centers for Medicare & Medicaid Services announced.
Confidence in value-based arrangements has grown during the pandemic, notes William Shrank, M.D., chief medical officer at Humana.