Lexology November 4, 2024
Sheppard Mullin Richter & Hampton LLP

On October 28, 2024, the Centers for Medicare & Medicaid Services (“CMS”) announced the latest states to participate in the voluntary state total cost of care (“TCOC”) model: the All-Payer Health Equity Approaches and Development (“AHEAD”) Model. The initiative aims to curb healthcare costs and improve population health by allowing states to assume responsibility for their own healthcare systems. Specifically, the program holds states accountable for meeting state-specific Medicare targets, reducing cost growth, primary care investment, and advancing health equity principles. As of August 2024, Maryland, Vermont, Connecticut, Hawai’i, Rhode Island, and five downstate counties of New York have been selected to implement AHEAD.

Program Overview

In September 2023, CMS unveiled AHEAD, a new, voluntary state TCOC model that seeks...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: CMS, Equity/SDOH, Govt Agencies, Healthcare System, Insurance, Payer, Payment Models, Provider, Value Based
Mandatory Medicare Bundled Payment and the Future of Hospital Reimbursement
Medicare Privatization Under New CMS Leadership: What's Really at Stake
Four Ways To Advance Accountable Chronic Pain Care
Navigating the ACO landscape: A guide for providers striving for value-based care - 2
Hidden Changes: What Home Health Providers May Have Missed In The Final Rule

Share This Article