Current & Emerging Payment Models

The Department of Health and Human Services’ Advanced Research Projects Agency (ARPA-H) has released a draft solicitation for applicants to the Health Care Rewards to Achieve Improved Outcomes (HEROES) program, which will evaluate a new payment model to incentivize community-based interventions to…
On Feb. 14 at 3 p.m. ET, the Centers for Medicare & Medicaid Services will host a webinar to explain and answer questions about the hospital global budget methodology for Medicare fee-for-service patients under the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) model.
A bipartisan group of House members Nov. 28 introduced AHA-supported legislation that would prohibit health insurers from charging fees for standard electronic fund transfers to pay health care providers for services.
States interested in participating in Cohort 1 or 2 of the States Advancing All-Payer Health Equity Approaches and Development Model may apply until 3 p.m. on March 18 and are encouraged to submit a letter of intent by Feb. 5, the Centers for Medicare & Medicaid Services announced Nov. 16.
The AHA is deeply concerned that CMS is proposing a CY 2024 outpatient hospital payment update of only 2.8% despite persistent financial headwinds facing the hospital field.
On June 30, the Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2024 proposed rule for the home health (HH) prospective payment system (PPS).