Current & Emerging Payment Models
The Centers for Medicare & Medicaid Services has issued the 2025-2026 Medicaid Managed Care Rate Development Guide for states to use when setting managed care capitation rates for the rating periods between July 1, 2025, and June 30, 2026.
The AHA today filed an amicus brief in the U.S. Court of Appeals for the D.C. Circuit, defending the Department of Health and Human Services’ decision to prevent drug companies from implementing a 340B rebate model. The brief was filed in a consolidated appeal involving five drug companies. The AHA…
Payment ModelsCare Delivery Transformation FrameworkOperational Infrastructure
Representatives from CMMI discuss AHEAD Model updates, including version 3.0 financial specifications, and answer questions from members. If AHA members have questions, please submit to VBP@aha.org . View recording and download slides.
The AHA March 27 made a series of recommendations to the Physician‐Focused Payment Model Technical Advisory Committee to address barriers to participating in population-based total cost-of-care and primary and specialty care models.
The Centers for Medicare and Medicaid Services Innovation Center (CMMI) issued guidance yesterday to update timelines for certain alternative payment models. The agency will shorten timelines for four models and will no longer pursue two additional models that were previously announced. CMMI…
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.