The Centers for Medicare & Medicaid Services has released a list of Medicaid payment arrangements that will qualify as advanced Alternative Payment Models for performance year 2019 under the Quality Payment Program’s all-payer combination option. CMS plans to update the list and release similar lists for Medicare Advantage and other plans later this year. State Medicaid agencies, Medicare health plans and payers participating in CMS multi-payer models may submit information about their payment arrangements with eligible clinicians to determine if they qualify for the all-payer option for a given performance year. Eligible clinicians and APM entities participating in the payment arrangement also may ask the agency to determine whether the arrangement qualifies.

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The Department of Health and Human Services Office of Inspector General June 11 released two reports on high rates of coverage denials by Medicare Advantage…
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Members of Congress and hospital and health system leaders today gathered for a briefing in Washington, D.C., to discuss how payment delays in Medicare…
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The Centers for Medicare & Medicaid Services June 1 issued an interim final rule with comment period implementing the statutory requirement that certain…
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The Centers for Medicare & Medicaid Services May 28 issued a final rule making changes to the Increasing Organ Transplant Access Model beginning July 1.…
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The Centers for Medicare & Medicaid Services May 20 released a proposed rule that would modify policies governing Medicaid state-directed…
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The AHA May 20 provided comments to the House Energy and Commerce Subcommittee on Health for a hearing on the physician fee schedule, the Medicare Access…