Current & Emerging Payment Models

COVID-19 continues to spread throughout much of the country. Many states are experiencing spikes in cases. Media outlets report a daily total of confirmed cases, hospitalizations and deaths from the virus. But the financial havoc the pandemic is wreaking on hospital and health system finances is…
On June 30, the Centers for Medicare & Medicaid Services issued its calendar year 2021 proposed rule for the home health prospective payment system. Comments on the proposed rule are due to CMS by Aug. 24.
A National Quality Forum task force released a report identifying opportunities to advance safe, appropriate, person-centered care over the next decade.
The Centers for Medicare & Medicaid Services released the first annual report evaluating the Bundled Payments for Care Improvement Advanced Model.
Eligible hospitals that wish to apply to participate in the Medicare Direct Contracting Model but have not yet submitted a nonbinding letter of intent may do so before they apply for the first performance year, the Centers for Medicare & Medicaid Services announced.
Eligible hospitals can apply through July 6 to participate in the Medicare Direct Contracting Model, which will offer two primary care payment options for hospitals beginning next April.
The Center for Medicare and Medicaid Innovation today announced several COVID-19-related modifications to current and future CMMI alternative payment models.
The Center for Medicare and Medicaid Innovation (CMMI) today announced several COVID-19 related modifications to current and future CMMI alternative payment models (APMs). The adjustments are captured in a summary table and are related to the models’ financial methodologies, quality reporting…
The Centers for Medicare & Medicaid Services released early stakeholder insights from its Accountable Health Communities Model.
The Centers for Medicare & Medicaid Services issued a final rule that implements the standards governing health insurance issuers and the Health Insurance Marketplaces (or “exchanges”) for 2021.