Current & Emerging Payment Models
The Centers for Medicare & Medicaid Services seeks comments through May 25 on potential models for direct provider contracting (DPC) with physician practices in Medicare, Medicaid and the Children’s Health Insurance Program to reduce spending and administrative burden while enhancing quality…
The American Society of Addiction Medicine and the American Medical Association yesterday released an issue brief on an alternative payment model for medication-assisted therapy, and seek physician practices and insurers interested in pilot testing the model for patients with opioid use disorder.
The Medicare Payment Advisory Commission today approved a recommendation to reduce emergency department payment rates by 30% for off-campus stand-alone EDs located within six miles of an on-campus hospital ED.
Providers who straddle fee-for-service and value-based care models must make sure their information technology investments can fully support both.
The Physician-Focused Payment Model Technical Advisory Committee this week recommended that Health and Human Services Secretary Alex Azar approve a Medicare payment demonstration to test two alternative payment models to support people with advanced illness.
The Medicare Payment Advisory Commission today discussed how Medicare could pay for sequential services under a post-acute care prospective payment model, and modify the discharge process for general acute-care hospitals to encourage beneficiaries to use higher-quality PAC providers. The Improving…
The Centers for Disease Control and Prevention’s Office of Antibiotic Stewardship yesterday released the first in a four-part online training course on antibiotic stewardship.
We know that every day America’s hospitals and health systems—and other health care providers—are faced with the daunting task of complying with a growing number of federal regulations.
Make no mistake about it—we understand the need for “responsible” regulation—that ensures public…
AHA President and CEO Rick Pollack yesterday hosted Centers for Medicare & Medicaid Services Administrator Seema Verma on a special AHA Town Hall webcast focused on the current regulatory landscape.
More than 20,000 clinicians will receive between 6.6% and 19.9% more on their Medicare physician fee schedule payments in 2018.