Current & Emerging Payment Models

Dec 4, 2018
The AHA, jointly filed a lawsuit against the Department of Health and Human Services for finalizing a policy to phase-in a reduction in payments for hospital outpatient clinic visit services furnished in off-campus provider-based departments that are grandfathered under Section 603 of the…
Aug 1, 2022
The Centers for Medicare & Medicaid Services (CMS) July 15 released its calendar year (CY) 2023 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) proposed rule that would increase OPPS rates by a net 2.7% in CY 2023 compared to CY 2022.
Jul 15, 2022
Stacey Hughes Executive Vice President American Hospital Association July 15, 2022
Jul 7, 2022
CMS and the Office of the Assistant Secretary for Planning and Evaluation issued their report to Congress.
Jul 7, 2022
The Centers for Medicare & Medicaid Services today announced that it will delay indefinitely the payment penalty period of the Appropriate Use Criteria program for advanced imaging services. The program, which was set to potentially go into effect on Jan. 1, 2023, requires imaging provider…
Jun 21, 2022
CMS issued its calendar year 2023 proposed rule for the home health prospective payment system, which would reduce net HH payments by $810 million in calendar year 2023 relative to CY 2022.
Jun 17, 2022
June 17, 2022 The Honorable Chiquita Brooks-LaSure Administrator Centers for Medicare & Medicaid Services Hubert H. Humphrey Building 200 Independence Avenue, S.W. Room 445-G Washington, DC 20201
Jun 17, 2022
AHA's submitted the following comments on the fiscal year (FY) 2023 LTCH prospective payment system (PPS) proposed rule to CMS.
Jun 6, 2022
The AHA supports the Centers for Medicare & Medicaid Services’ proposal to delay the January 2023 start of the Radiation Oncology Model.
Dec 15, 2021
Responding to a recent request for input from the field, the AHA urged the Center for Medicare and Medicaid Innovation to balance the risk and reward in its alternative payment models “in a way that reflects the significant investments required to launch and maintain APM participation.”