Current & Emerging Payment Models

The U.S. Court of Appeals for the D.C. Circuit will hear oral arguments April 17 in the Department of Health and Human Services’ appeal of a district court ruling in favor of the AHA and hospital organizations that found the agency could not reduce calendar year 2019 payments for hospital…
The Centers for Medicare & Medicaid Services will host a Dec. 11 webinar on the Primary Care Initiative’s professional and global direct contracting options.
CMS is accepting applications to participate in the Primary Care Initiative’s professional and global direct contracting options in calendar year 2020.
The Centers for Medicare & Medicaid Services is accepting applications through Jan. 22 from primary care practices in 26 regions to participate in the Primary Care First model.
The Centers for Medicare & Medicaid Services will accept applications for the Kidney Care Choices model through Jan. 22, the agency said today.
The Centers for Medicare & Medicaid Services has updated its alternative payment model participation status tool for the 2019 Quality Payment Program, which identifies eligible clinicians who qualify as advanced APM participants based on Medicare Part B claims data through June.
President Trump today issued an executive order calling for policies “to protect and improve the Medicare program by enhancing its fiscal sustainability through alternative payment methodologies that link payment to value, increase choice, and lower regulatory burdens imposed upon providers.”
The Alliance for Addiction Payment Reform, of which the AHA is a member, is partnering with health care providers and payers to test an alternative payment model for addiction treatment and recovery in Connecticut, Kentucky, North Carolina, Tennessee, Texas and Washington, D.C.
The Centers for Medicare & Medicaid Services late today issued its long-term care hospital prospective payment system final rule for fiscal year 2020.
Organizations interested in applying to participate in the professional or global direct contracting options under the Centers for Medicare & Medicaid Services’ new Primary Cares Initiative must submit a non-binding letter of intent by Aug. 2.