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 Centers for Medicare & Medicaid Services is seeking comments by May 11 on its proposed revisions to data reporting requirements for Medicare Advantage…
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The Centers for Medicare & Medicaid Services March 11 issued guidance to state survey agency directors clarifying and reinforcing the roles and…
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The Medicaid and CHIP Payment and Access Commission March 12 released its March 2026 report to Congress. The first chapter includes a recommendation to…
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The Joint Economic Committee March 10 released a report that found Medicare Part B premiums rose last year due to Medicare Advantage overpayments. The…
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The Centers for Medicare & Medicaid Services March 6 issued guidance to states on transitioning to six-month Medicaid redeterminations in 2027, a change…
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Republican leaders on the House Committee on Energy and Commerce March 5 announced they were expanding their ongoing investigation into waste, fraud and abuse…