CMS Releases List of Exclusions from BPCI Advanced Clinical Episodes
The Centers for Medicare & Medicaid Services Tuesday posted a of Medicare-Severity-Diagnosis Related Groups that will be excluded from the clinical episodes of care in its model, a new voluntary bundled payment model that will qualify as an advanced alternative payment model under Medicare鈥檚 Quality Payment Program for clinicians. The announcement came just five days before applications to participate in BPCI Advanced are due. AHA last month recommended that CMS provide a complete package of information on the model by March 1, and delay the program鈥檚 application deadline from March 12 to April 16. However, CMS has stated it will not extend the deadline.
Related News Articles
Chairperson's File
The recently enacted One Big Beautiful Bill Act will bring big changes to health care. AHA President and CEO Rick Pollack joined me for a Leadership Dialogue鈥
Headline
The House Ways and Means Subcommittees on Health and Oversight held a joint hearing today to discuss lessons learned, challenges and opportunities to improve鈥
Headline
The AHA today expressed support for the Medicare Mental Health Inpatient Equity Act, a bill that would eliminate the 190-day lifetime limit on inpatient鈥
Headline
The AHA July 8 wrote in opposition to the 鈥淧atient Access to Higher Quality Health Care Act鈥 (H.R. 4002), which would repeal current law banning the creation鈥
Headline
The AHA July 3 released the Health Care Plan Accountability Update for the second quarter of 2025. The update covers the latest developments in Medicare鈥
Headline
The Departments of Justice and Health and Human Services today announced the creation of the DOJ-HHS False Claims Act Working Group to combat health care fraud鈥