Current & Emerging Payment Models

Dec 4, 2018
The AHA, jointly filed a lawsuit against the Department of Health and Human Services for finalizing a policy to phase-in a reduction in payments for hospital outpatient clinic visit services furnished in off-campus provider-based departments that are grandfathered under Section 603 of the…
Feb 24, 2021
In this report, Kaufman Hall used historical hospital revenues and different possible paths for these three recovery factors to forecast 2021 hospital revenue, a critical criterion in determining the financial health of America’s hospitals. The report also shows expense factors associated with…
Feb 10, 2021
QUESTION PRESENTED: Whether Chevron deference applies to a statutory interpretation question that determines both the lawfulness of agency action and the court’s jurisdiction.
Jan 20, 2021
The Centers for Medicare & Medicaid Services released its request for applications for the Geographic Direct Contracting Model, known as Geo.
Jan 19, 2021
The Centers for Medicare & Medicaid Services has released a guide to participating in Quality Payment Program advanced alternative payment models in 2021.
Jan 19, 2021
The Health Care Payment Learning and Action Network has launched a collaborative to accelerate the transition to alternative payment models to advance resiliency to events such as the COVID-19 public health emergency.
Jan 14, 2021
The Medicare Payment Advisory Commission recommended that Congress provide a 2% market-basket update for the hospital inpatient and outpatient prospective payment systems in fiscal year 2022.
Nov 17, 2020
A series of webinar recordings and issue briefs on overcoming implementation challenges with bundled payments or episodic care programs.
Nov 2, 2020
The Center for Medicare and Medicaid Innovation Oct. 30 announced the participation of 51 Direct Contracting Entities in the implementation period of the Global and Professional Options of the Direct Contracting Model.
Oct 21, 2020
As strongly urged by the AHA, the Centers for Medicare & Medicaid Services announced it will delay the Jan. 1 start date for its new radiation oncology alternative payment model.