Current & Emerging Payment Models
The Center for Medicare and Medicaid Innovation today announced a new payment model for Medicare Part D and Medicare Advantage drug plans beginning January 2020, which will test new incentives for plans, patients and providers to choose drugs with lower list prices. Plans participating in the…
This presentation offers an overview of the 2019 Environmental Scan, outlining key themes and trends that the health care field is currently facing during this time of transformation. Understanding the current climate of health in America will help hospital and health system leaders to shape the…
The AHA, jointly filed a lawsuit against the Department of Health and Human Services for finalizing a policy to phase-in a reduction in payments for hospital outpatient clinic visit services furnished in off-campus provider-based departments that are grandfathered under Section 603 of the…
The Ochsner Health Network will start a new accountable care plan on Jan. 1 to cover about 6,600 Walmart and Sam’s Club employees in the New Orleans, North Shore and Baton Rouge areas. The deal is designed to improve the quality of care and lower overall health costs for employees from 41 store…
The Alliance for Recovery-Centered Addiction Health Services, of which the AHA is a member, recently announced an alternative payment model (APM) designed to provide patients a long-term, comprehensive and integrated pathway to addiction treatment and recovery.
About 34 percent of health care payments in 2017 were tied to alternative payment models, up from 29 percent in 2016.
A total of 832 acute care hospitals and 715 physician group practices are participating in Medicare’s Bundled Payments for Care Improvement – Advanced model, the Centers for Medicare & Medicaid Services announced today.
OODA Health, which focuses on removing inefficiency from health care administration, and Blue Shield of California are building a cloud-based platform to provide payments to providers immediately after care is delivered. The companies will test the new technology as a pilot program with Dignity…
Held Sept. 19, 2018
Allina Health, Courage Kenny Rehabilitation Institute (CKRI), provides rehabilitation services for people with short- and long-term conditions, injuries and disabilities.
In Brigham and Women’s home hospital care program, patients receive hospital-level care in the comfort of their own homes. The program has helped lower costs and readmissions.