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AHA Knowledge Exchange

Aligning Payers and Partners for Value-based Care

As value-based care models grow, hospitals, providers and payers need to align goals and incentives to improve patient outcomes and reduce costs.
AHA Center for Health Innovation Market Scan

How to Achieve Digital Health Success

In today’s difficult financial environment amidst rising labor costs and staffing shortages, many health care organizations are prioritizing technology investments to improve operations.
Sponsored Executive Dialogues
Member

Creating a Sustainable Health-First Model with Value-based Care

The value-based care initiatives providers are prioritizing and best practices health systems are employing in the transition to risk-based models.
Advisory
Member

Transforming Episode Accountability Model (TEAM) Final Rule

The Centers for Medicare & Medicaid (CMS) Aug.
Special Bulletin
Member

CMS’ Hospital Inpatient PPS Final Rule for FY 2025

The Centers for Medicare & Medicaid Services (CMS) Aug. 1 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2025.
Fact Sheets

Hospital Outpatient Department (HOPD) Costs Higher than Physician Offices Due to Additional Capabilities, Regulations

Find the best hopd healthcare services near you with our comprehensive directory of top-rated hospitals and physician offices.
AHA Center for Health Innovation Market Scan

3 Keys for Hospitals to Achieve Sustainable Financial Stability

C-suite executives will need to realize cost reductions of 15% to 20% by 2030 to create a foundation for long-term financial sustainability, a new Oliver Wyman analysis suggests.
News

Maryland program for specialist physicians reports initial Medicare savings

The voluntary Episode Quality Improvement Program for specialist physicians saved Medicare $20 million in its first year, the Maryland Health Services Cost Review Commission
Landing Page

Navigating Value-based Payment

In the 14 years since passage of the Affordable Care Act (ACA) and 9 years since the passage of the Medicare Access and CHIP Reauthorization Act (MACRA), there have been numerous programs developed by Medicare, states and commercial payers to support the movement to outcomes or value-based reimbursement.
Landing Page

Capitated and Global Budget Models

At the upstream end of the value-based payment spectrum, organizations can assume full risk for a population through capitated payments, global budgets, and provider led insurance plans.