Current & Emerging Payment Models

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.
Hospitals participating in the first year of Medicare’s Comprehensive Care for Joint Replacement Model reduced payments for lower extremity joint replacement episodes by an average 3.3 percent more than hospitals that did not participate in the model.
The Alliance for Recovery-Centered Addiction Health Services, of which the AHA is a member, today announced an alternative payment model designed to provide patients a long-term, comprehensive and integrated pathway to addiction treatment and recovery.