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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.

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.

Current and Emerging Payment Models

Health care is currently in the middle of a transition from a system of payment based on the volume of services provided (fee-for-service) to payment based on the value of those services (value-based care and alternative payment models).

Accountable Care Organizations

What are Accountable Care Organizations? What are ACOs? An ACO is a group of clinicians, hospitals and other health care providers who come together voluntarily to give coordinated high-quality care a designated group of patients.
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The 340B Drug Pricing Program

For more than 30 years, the 340B Drug Pricing Program has provided financial help to hospitals serving vulnerable communities to manage rising prescription drug costs. Despite significant oversight from HRSA and the program’s proven record of decreasing government spending and expanding access to patient care, some want to scale it back or drastically reduce the benefits that eligible hospitals and their patients receive from the program.

Marketing Solutions

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The Health Equity Roadmap

The Health Equity Roadmap: A national initiative to improve health care outcomes, health equity, diversity and inclusion, and end health inequities.

The Hospital Community Cooperative (HCC) | Center

The Hospital Community Collaborative provides resources to hospitals and community organizations seeking to collaborate to accelerate health equity.

AHA Associate Program Getting Started

AHA Associate Program participant onboarding

AHA Preferred Cybersecurity Provider | Center

The AHA has created a panel of a limited number of highly-reputable and qualified cybersecurity service providers to support AHA member hospitals and health systems with their cyber defense programs. The AHA Preferred Cybersecurity Provider (APCP) Program will assist AHA members by directing them to firms that provide exceptional value in terms of pricing and quality for cybersecurity services.