The Centers for Medicare & Medicaid Services has released a list of Medicaid payment arrangements that will qualify as advanced Alternative Payment Models for performance year 2019 under the Quality Payment Program’s all-payer combination option. CMS plans to update the list and release similar lists for Medicare Advantage and other plans later this year. State Medicaid agencies, Medicare health plans and payers participating in CMS multi-payer models may submit information about their payment arrangements with eligible clinicians to determine if they qualify for the all-payer option for a given performance year. Eligible clinicians and APM entities participating in the payment arrangement also may ask the agency to determine whether the arrangement qualifies.

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The AHA drafted and filed an amicus brief June 17 in the 5th U.S. Circuit Court of Appeals in a case regarding Medicaid financing and provider taxes filed by…
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The Medicare Payment Advisory Commission June 15 released its June report to Congress that estimated the association between Medicare Advantage enrollment and…
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The Medicaid and CHIP Payment and Access Commission June 15 released its June 2026 report to Congress. Among the topics discussed, chapter two focuses on…
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The Department of Health and Human Services Office of Inspector General June 11 released two reports on high rates of coverage denials by Medicare Advantage…
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Members of Congress and hospital and health system leaders today gathered for a briefing in Washington, D.C., to discuss how payment delays in Medicare…
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The Centers for Medicare & Medicaid Services June 1 issued an interim final rule with comment period implementing the statutory requirement that certain…