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 application deadline for the Rural Health Transformation Program is Nov. 5. The program will fund $50 billion to rural providers from fiscal year 2026 to…
Headline
A new report from KFF reveals that Medicare Advantage enrollees had access to just 48% of the physicians available to Traditional Medicare beneficiaries in…
Headline
The AHA has released a social media toolkit in advance of National Rural Health Day Nov. 20 that includes advocacy-focused posts for hospitals and health…
Headline
The Senate Committee on Health, Education, Labor and Pensions Oct. 23 held a hearing discussing the 340B Drug Pricing Program and its growth and impacts on…
Headline
The AHA Oct. 23 recommended changes to the Centers for Medicare & Medicaid Services’ Wasteful and Inappropriate Services Reduction model to address…
Headline
The Centers for Medicare & Medicaid Services has released an operational guide for Medicare-enrolled providers and suppliers on the Wasteful and…