Current & Emerging Payment Models
It is imperative that Congress invest in America’s hospitals and health systems to ensure
that the nation’s health care needs can be met today and into the future. The AHA supports
investments in infrastructure, such as the health care workforce, behavioral health, the
accessibility and…
The American Hospital Association (AHA) would like to share hospital and health system priorities that would benefit patients and communities around the country that we would like to see included in the upcoming budget reconciliation legislation.
Hoping to prevent patients from delaying or not getting needed care, Pennsylvania-based Geisinger has introduced a customizable zero-interest artificial intelligence (AI)-enabled payment plan for out-of-pocket medical expenses.
AHA raised “substantial concerns” with the prototype payment model that the Centers for Medicare…
ABILITY can help identify more active insurance coverage, including secondary and tertiary policies, and highlight patient eligibility for programs like Medicaid. Identifying the appropriate payers at patient intake can help make denial management a thing of the past and secure your hospital’s…
If there is a silver lining in the pandemic, it’s that it rapidly accelerated hospital-at-home programs. HaH programs can sharply reduce costs while maintaining quality and safety levels and lowering readmissions with improved patient experience.
The Honorable Chiquita Brooks-LaSure
Administrator
Centers for Medicare & Medicaid Services
Hubert H. Humphrey Building
200 Independence Avenue, S.W., Room 445-G
Washington, DC 20201
RE: Patient Protection and Affordable Care Act; Updating Payment Parameters, Section 1332 Waiver Implementing…
This webinar will provide insights into new models of care delivery and payment, and the measurement of success. Speakers will discuss how hospitals and community-based organizations can work together to ensure better value and health outcomes to individuals seeking care.
The Health Care Payment Learning and Action Network has created an advisory team to help identify and prioritize opportunities to advance health equity through alternative payment models and inform its priorities and initiatives.
Some employers are moving away from offering traditional coverage with a provider network and instead are using reference-based pricing for some or all of services they cover. Under reference-based pricing, the employer (supported by a third party administrator [TPA] or other vendor) pays a set a…