Current & Emerging Payment Models

A blog by Robyn Tessin, AHA director of policy, discusses the ways value-based care can meet patients’ needs, resulting in improved affordability and access to timely, coordinated care. “The promise of value-based care is a healthcare system that feels less like a collection of separate…
The AHA hosted a webinar for members on Aug. 5, during which AHA staff discussed the recently released CY 2027 Physician Fee Schedule proposed rule. The proposed rule includes updates to physician fee schedule rates and other aspects of physician payment. It also contains proposals related to the…
The Centers for Medicare & Medicaid Services July 22 released implementation guidance following a district court ruling July 16 that enjoined eight provisions from its 2027 notice of benefit and payment parameters final rule, which were set to become effective July 20.
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.