Current & Emerging Payment Models

On Feb. 14 at 3 p.m. ET, the Centers for Medicare & Medicaid Services will host a webinar to explain and answer questions about the hospital global budget methodology for Medicare fee-for-service patients under the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) model.
A bipartisan group of House members Nov. 28 introduced AHA-supported legislation that would prohibit health insurers from charging fees for standard electronic fund transfers to pay health care providers for services.
States interested in participating in Cohort 1 or 2 of the States Advancing All-Payer Health Equity Approaches and Development Model may apply until 3 p.m. on March 18 and are encouraged to submit a letter of intent by Feb. 5, the Centers for Medicare & Medicaid Services announced Nov. 16.
The AHA is deeply concerned that CMS is proposing a CY 2024 outpatient hospital payment update of only 2.8% despite persistent financial headwinds facing the hospital field.
On June 30, the Centers for Medicare & Medicaid Services (CMS) issued its calendar year (CY) 2024 proposed rule for the home health (HH) prospective payment system (PPS).
Sixty-seven oncology physician group practices in 37 states will participate in the Enhanced Oncology Model, a voluntary five-year payment model that will begin July 1 for beneficiaries who receive systemic chemotherapy, the Centers for Medicare & Medicaid Services announced yesterday.