Current & Emerging Payment Models
The AHA provided comments June 9 to the Centers for Medicare & Medicaid Services on its proposed Comprehensive Care for Joint Replacement Expanded Model, or CJR-X, telling the agency that mandatory participation would present significant challenges. Specifically, hospitals that lack the…
The AHA commented June 1 on the Centers for Medicare & Medicaid Services’ skilled nursing facility prospective payment system proposed rule for fiscal year 2027.
The AHA submitted comments to the Centers for Medicare & Medicaid Services June 1 on the inpatient psychiatric facility prospective payment system proposed rule for fiscal year 2027.
The AHA June 1 urged the Centers for Medicare & Medicaid Services to revisit its market basket forecast and work with Congress to reduce the productivity adjustment in the agency’s fiscal year 2027 proposed rule for inpatient rehabilitation facilities.
This member-only webinar highlights key provisions in the fiscal year 2027 Inpatient Prospective Payment System proposed rule, including the proposed Comprehensive Care for Joint Replacement Expanded (CJR-X) model. Specifically, AHA policy experts discuss proposals related to CJR-X, Medicare…
American Hospital Association E&C statement on examining the Medicare Physician Fee Schedule, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), and opportunities for payment reform.
The Centers for Medicare & Medicaid Services has released its fiscal year 2025 Program for Evaluating Payment Patterns Electronic Reports, or PEPPERs, for critical access hospitals.
This webinar explains how Medicare set payment rates for clinical laboratory tests and why upcoming reporting deadlines were so important. Speakers review recent policy developments, long-standing concerns about whether reported data accurately reflected the full laboratory market, and provides…
The Centers for Medicare & Medicaid Services announced in a memo April 21that it is delaying implementation of the Medicare Part D portion of the Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth Model, or BALANCE, for 2027 pending further evaluation and data collection.
The Centers for Medicare & Medicaid Services has released an updated request for applications for the Long-term Enhanced ACO Design Model, or LEAD.