Current & Emerging Payment Models

Jul 27, 2018
AHA comments on the Centers for Medicare & Medicaid Services' agency information collection notice on the home health “Review Choice” demonstration.
Jul 23, 2018
AI in Health Care: Keys to a Smarter Future   Thursday, August 2, 2018 1 - 2 p.m. Eastern; noon - 1 p.m. Central; 10 - 11 a.m. Pacific   With advances in artificial intelligence (AI), computing power and data science, we have entered a new era of medicine. There’s a…
Jul 5, 2018
The Centers for Medicare & Medicaid Services has released final performance feedback for Merit-based Incentive Payment System participants in performance year 2017, which includes their 2017 final score and estimated 2019 payment adjustment. Participants have until Sept. 30 to request a…
Jul 3, 2018
The Centers for Medicare & Medicaid Services has extended the deadline for submitting signed participation agreements and selecting clinical episodes for the Bundled Payments for Care Improvement Advanced model by one week to Aug. 8, and the due date for program deliverables to Sept. 14. AHA…
Jul 3, 2018
The Centers for Medicare & Medicaid Services yesterday released the home health prospective payment system proposed rule for calendar year 2019, which also proposes a major redesign for CY 2020. In CY 2019, the rule would increase net HH payments by 2.1% ($400 million) relative to CY 2018…
Jun 26, 2018
AHA today expressed substantial concerns with proposed reforms to the inpatient rehabilitation facility patient assessment process and case-mix systems for fiscal year 2020 included in the Centers for Medicare & Medicaid Services’ FY 2019 proposed rule for the IRF prospective payment system. “…
Jun 26, 2018
The Centers for Medicare & Medicaid Services’ proposed patient-driven payment model for skilled nursing facilities would increase overall payment accuracy, especially for the medically complex patients treated by hospital-based providers, but needs refinement, AHA told the agency in comments…
Jun 15, 2018
The Medicare Payment Advisory Commission today issued its June report to Congress, which includes the panel’s recent recommendation to reduce emergency department evaluation and management services payment rates by 30% for off-campus stand-alone EDs located within six miles of an on-campus…
May 29, 2018
The Bipartisan Budget Act retroactively extended the enhanced low-volume payment adjustment, which provides an add-on payment to qualifying low-volume hospitals to help improve access to care in rural areas. In order to receive the enhanced payments for fiscal year 2018, a hospital must send its…