The Centers for Medicare & Medicaid Services Innovation Center Sept. 2 announced changes to the Achieving Healthcare Efficiency through Accountable Design Model, including a new end date of Dec. 31, 2035. Other changes beginning in January 2026 include a requirement for states to implement at least two policies on promoting choice and competition in their health care markets, and the creation of a population health accountability plan on preventive care that includes chronic disease prevention. The AHEAD model is a total cost of care model designed to help states curb growth in health care costs and support those seeking to increase investments in primary care, provide financial stability for hospitals and support beneficiary connection to community resources.

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Multiple changes to transparency in coverage requirements for insurers were finalized Oct. 5 by the Departments of the Treasury, Labor, and Health and Human…
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The Centers for Medicare & Medicaid Services will cancel approximately 315,000 enrollments impacting more than 760,000 individuals as part of its anti-…
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The departments of Health and Human Services, Labor, and the Treasury have added Physio Solutions, LLC as a new independent dispute resolution entity…
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The 5th U.S. Circuit Court of Appeals Aug. 11 ruled to vacate certain regulations implementing how the No Surprises Act qualifying payment amount is calculated…
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Guidance on the implementation timeline for the No Surprises Act independent dispute resolution operations final rule was released Aug. 7 by the Departments of…
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The U.S. District Court for the Eastern District of Pennsylvania Aug. 5 granted a motion for the AHA and the Hospital and Healthsystem Association of…