Current & Emerging Payment Models

AHA comments regarding the Medicare Payment Advisory Commission (MedPAC) November meeting sessions related to physician fee schedule payments, advanced alternative payment model (A-APM) incentives and Medicare Advantage (MA) network adequacy.
As value-based care models grow, hospitals, providers and payers need to align goals and incentives to improve patient outcomes and reduce costs.
The Centers for Medicare & Medicaid Services recently announced that they anticipate a later start date for the Increasing Organ Transplant Access Model.
The Centers for Medicare & Medicaid Services Oct. 17 issued a reminder that participants in the mandatory Transforming Episode Accountability Model should have a representative complete the TEAM Primary Point of Contact Identification Form.
In this webinar, AHA policy experts, Jennifer Holloman, Senior Associate Director, Physician and Alternative Payment Model Policy, Shannon Wu, Director, Inpatient Payment Policy and Akin Demehin, Senior Director, Quality Policy provided an overview of the TEAM final rule.
The AHA Sept. 9 urged the Centers for Medicare & Medicaid Services to work with Congress on providing a pay increase for physicians in 2025 and develop a long-term plan for sustainable physician payment.
The Centers for Medicare & Medicaid Services Sept. 5 published a list of participants for the Transforming Episode Accountability Model. TEAM is a mandatory payment model that will bundle payment to acute care hospitals for five types of surgical episodes.
The AHA July 16 urged the Center for Medicare and Medicaid Innovation not to implement its newly proposed Increasing Organ Transplant Access Model as currently constructed, expressing concerns about many of its design features.
The AHA July 15 commented to Senators Sheldon Whitehouse, D-R.I., and Bill Cassidy, R-La., responding to a request for information based on the Pay PCPs Act, legislation designed to improve support and pay for primary care providers.
The Centers for Medicare & Medicaid Services July 2 announced that Maryland, Vermont and Connecticut will be the first participants in the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) Model.