Current & Emerging Payment Models

We now offer podcasts with AHA members who are using these strategies to improve quality and decrease health care costs. You also can access the case study profiles on our Members in Action landing page.
AHA comments on the Centers for Medicare & Medicaid Services' agency information collection notice on the home health “Review Choice” demonstration.
The Centers for Medicare & Medicaid Services has released final performance feedback for Merit-based Incentive Payment System participants in performance year 2017.
The Centers for Medicare & Medicaid Services has extended the deadline for submitting signed participation agreements and selecting clinical episodes for the Bundled Payments for Care Improvement Advanced model by one week to Aug. 8, and the due date for program deliverables to Sept. 14.
The Centers for Medicare & Medicaid Services yesterday released the home health prospective payment system proposed rule for calendar year 2019, which also proposes a major redesign for CY 2020.
AHA today expressed substantial concerns with proposed reforms to the inpatient rehabilitation facility patient assessment process and case-mix systems for fiscal year 2020 included in the Centers for Medicare & Medicaid Services’ FY 2019 proposed rule for the IRF prospective payment system.
The Centers for Medicare & Medicaid Services’ proposed patient-driven payment model for skilled nursing facilities would increase overall payment accuracy, especially for the medically complex patients treated by hospital-based providers, but needs refinement.
The Medicare Payment Advisory Commission today issued its June report to Congress, which includes the panel’s recent recommendation to reduce emergency department evaluation and management services payment rates by 30% for off-campus stand-alone EDs located within six miles of an on-campus hospital…
The Bipartisan Budget Act retroactively extended the enhanced low-volume payment adjustment, which provides an add-on payment to qualifying low-volume hospitals to help improve access to care in rural areas.