Current & Emerging Payment Models

The AHA March 27 made a series of recommendations to the Physician鈥怓ocused 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鈥
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.
In this webinar, AHA policy experts, Jennifer Holloman, Senior Associate Director, Physician and Alternative Payment Model Policy, Shannon Wu, Director, Inpatient Payment Policy and Akin Demehin, Senior Director, Quality Policy provided an overview of the TEAM final rule.
The AHA Sept. 9 urged the Centers for Medicare & Medicaid Services to work with Congress on providing a pay increase for physicians in 2025 and develop a long-term plan for sustainable physician payment.
The Centers for Medicare & Medicaid Services Sept. 5 published a list of participants for the Transforming Episode Accountability Model. TEAM is a mandatory payment model that will bundle payment to acute care hospitals for five types of surgical episodes.
The AHA July 16 urged the Center for Medicare and Medicaid Innovation not to implement its newly proposed Increasing Organ Transplant Access Model as currently constructed, expressing concerns about many of its design features.