Current & Emerging Payment Models

The Centers for Medicare & Medicaid Services’ Innovation Center today announced the Primary Cares Initiative, which will provide primary care practices and other providers with five new payment model options under two paths – Primary Care First and Direct Contracting.
The Centers for Medicare & Medicaid Services late Friday issued a proposed rule updating payment rates for skilled nursing facilities for fiscal year 2020.
The Centers for Medicare & Medicaid Services today issued a proposed rule to update the payment rates for hospices for fiscal year 2020.
The Centers for Medicare & Medicaid Services today issued a proposed rule to update the payment rates for inpatient psychiatric facilities for fiscal year 2020.
It’s getting tougher and tougher to distinguish between insurers and providers — and even more so after Blue Cross and Blue Shield of Texas became the latest payer to move into primary care.
AHA writes to urge the Centers for Medicare & Medicaid Services to consider alternative payment solutions for Chimeric Antigen Receptor T-cell (CAR T) therapy.
The Medicare Payment Advisory Commission this week recommended that Congress provide a 2 percent market-basket update for the hospital inpatient and outpatient prospective payment systems in 2020, and replace the current hospital quality programs in 2020 with a new Hospital Value Incentive Program…
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…