Current & Emerging Payment Models

For America’s hospitals, positive margins create the ability to invest in new facilities, treatments, and technologies to better care for patients, and to build reserves to be ready for a future made highly uncertain due to the effects of the COVID-19 pandemic.
The Centers for Medicare & Medicaid Services has selected 184 ambulance providers and suppliers in 36 states to participate in the Services Emergency Triage, Treat, and Transport (ET3) Model, which began Jan. 1.
In this report, Kaufman Hall used historical hospital revenues and different possible paths for these three recovery factors to forecast 2021 hospital revenue, a critical criterion in determining the financial health of America’s hospitals. The report also shows expense factors associated with…
QUESTION PRESENTED: Whether Chevron deference applies to a statutory interpretation question that determines both the lawfulness of agency action and the court’s jurisdiction.
The Centers for Medicare & Medicaid Services released its request for applications for the Geographic Direct Contracting Model, known as Geo.
The Centers for Medicare & Medicaid Services has released a guide to participating in Quality Payment Program advanced alternative payment models in 2021.
The Health Care Payment Learning and Action Network has launched a collaborative to accelerate the transition to alternative payment models to advance resiliency to events such as the COVID-19 public health emergency.
The Medicare Payment Advisory Commission recommended that Congress provide a 2% market-basket update for the hospital inpatient and outpatient prospective payment systems in fiscal year 2022.
A series of webinar recordings and issue briefs on overcoming implementation challenges with bundled payments or episodic care programs.
The Center for Medicare and Medicaid Innovation Oct. 30 announced the participation of 51 Direct Contracting Entities in the implementation period of the Global and Professional Options of the Direct Contracting Model.