Current & Emerging Payment Models

Sixty-seven oncology physician group practices in 37 states will participate in the Enhanced Oncology Model, a voluntary five-year payment model that will begin July 1 for beneficiaries who receive systemic chemotherapy, the Centers for Medicare & Medicaid Services announced yesterday.
In a letter submitted to the House Energy and Commerce Subcommittee on Oversight and Investigations for a hearing on challenges implementing value-based and alternative payment models under the Medicare Access and CHIP Reauthorization Act of 2015, AHA encouraged certain statutory and regulatory…
AHA yesterday urged the Centers for Medicare & Medicaid Services to adjust its proposed fiscal year 2024 market basket update for inpatient psychiatric facilities to account for underpayments in FY 2022 relative to inflation.
The deadline is May 31 for acute care hospitals, physician group practices and Medicare accountable care organizations to apply to participate in the Centers for Medicare & Medicaid Services’ two-year Bundled Payments for Care Improvement Advanced Model that begins in January 2024.
The Centers for Medicare & Medicaid Services Friday released a bulletin reiterating certain federal requirements with respect to health care-related taxes.
Over 700,000 physicians, hospitals and other health care providers will collaborate to coordinate care for 13.2 million Medicare patients through three accountable care models in 2023, the Centers for Medicare & Medicaid Services announced today.
In this new resource from AHA’s The Value Initiative to help hospitals thrive in value-based payment contracts, Amol Navathe, M.D., assistant professor, medical ethics and health policy, University of Pennsylvania Perelman School of Medicine, and Mai Pham, M.D., president and CEO, Institute for…
While the AHA is pleased that CMS will provide hospitals and health systems with an improved update to outpatient payments next year compared to the agency’s proposal in July, the increase is still insufficient given the extraordinary cost pressures hospitals face from labor, supplies, equipment,…
President Biden directed the Center for Medicare and Medicaid Innovation to consider new payment and delivery models to lower drug costs and promote access to innovative drug therapies for beneficiaries.
CMS will extend through 2025 the Bundled Payments for Care Improvement Advanced model, which was set to expire this year.