CMS extends Maryland All-Payer Hospital Model through 2019
The Centers for Medicare & Medicaid Services this week agreed to extend Maryland’s All-Payer Hospital Model contract through 2019 while it reviews the state’s proposal to progress to a Total Cost of Care All-Payer Model in 2020. Under the All-Payer Hospital Model, launched in 2014, Medicare, Medicaid, commercial and self-pay payers pay the same amount for the same service at the same hospital. The model requires the state to limit its annual all-payer per capita total hospital cost growth to 3.58%; and hospitals commit to certain performance goals and operate under fixed annual budgets, shifting incentives from volume to value. The proposed model for 2020 would extend the initiative beyond hospitals to other care
Related News Articles
Headline
The AHA Oct. 3 responded to the Medicare Payment Advisory Commission’s recent analysis on the financial impacts of Medicare Advantage enrollment growth on…
Headline
The federal government shutdown will continue as the Senate Oct. 3 failed to adopt a government funding deal. The latest attempt to pass the House-passed…
Headline
A JAMA study published yesterday analyzed the health characteristics of individuals projected to lose Medicaid coverage due to work requirements included in…
Headline
The Centers for Medicare & Medicaid Services Sept. 30 issued a memo, through the Health Plan Management system, finalizing the Medicare Advantage…
Headline
The Centers for Medicare & Medicaid Services Sept. 30 released guidance to states clarifying its interpretation of a provision that…
Headline
The U.S. District Court for the District of Rhode Island Sept. 30 denied motions from AbbVie and Novartis seeking a preliminary injunction against the state’s…