Current & Emerging Payment Models
The AHA joined physician and other groups urging the Centers for Medicare & Medicaid Services to take steps to ensure COVID-19 does not derail the Alternative Payment Model and value movement.
Medicare Part D plans and drug makers may apply to participate in a new payment model starting in January, which will allow plan sponsors to offer benefits that limit cost sharing for a 30-day supply of insulin to no more than $35.
In response to questions from stakeholders, the Centers for Medicare & Medicaid Services released a calendar of key dates for the Medicare Direct Contracting Model.
The Centers for Medicare & Medicaid Services should develop prior authorization measures for the Medicare Advantage Star Ratings Program to minimize care delays and protect patients from inappropriate care denials, AHA said in submitted comments.
The Centers for Medicare & Medicaid Services has selected 205 ambulance service providers or suppliers, including some AHA members, to participate in the Emergency Triage, Treat, and Transport (ET3) Model.
The AHA, joined by the Association of American Medical Colleges and a number of member hospitals, filed a brief urging the U.S. Court of Appeals for the District of Columbia Circuit to affirm a district court ruling that voided the Centers for Medicare…
The Centers for Medicare & Medicaid Services Feb. 20 issued a rule proposing changes to the Comprehensive Care for Joint Replacement model, which bundles payment to acute care hospitals for hip and knee replacement surgery.
The Centers for Medicare & Medicaid Services Feb. 20 issued a rule proposing changes to the Comprehensive Care for Joint Replacement (CJR) model, which bundles payment to acute care hospitals for hip and knee replacement surgery.
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.