Current & Emerging Payment Models

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.
A federal district court in Washington, D.C., heard oral argument in the AHA’s legal challenge to the Centers for Medicare & Medicaid Services’ final rule mandating that hospitals disclose their privately negotiated charges with commercial health insurers.