Payment

Resources and updates on navigating payment challenges with Medicaid, Medicare, and private payer insurance companies.

Telehealth Payment Update

In February 2026, Congress passed legislation extending pandemic-era telehealth flexibilities through December 31, 2027. For details on these flexibilities and how your practice can adapt to mitigate future service disruptions, see the Telehealth Best Practices Overview Document.

Hospital at Home (HaH) Programs

Hospital at Home (HaH) programs, which enabled hospitals to deliver inpatient-level care in patients’ homes under special CMS waivers, are now vulnerable. Without renewed federal authority, hospitals may experience delays in waiver renewals, claims processing, and oversight. While patients currently enrolled may continue receiving care at home, program growth and reimbursement stability could be disrupted. For more details, see the best practices document.

Medicare Resources

Tools and information to ensure appropriate payment, including web-based educational resources and billing guidance for annual wellness visits. Also includes details on the Quality Payment Program and deadlines.

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Medicaid

Learn more about the Medicaid and CHIP programs, both at the federal level and in your state.

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Private Payers

Insurance materials to help navigate issues specific to private payer plans, including standard payer contracts and advice on retaining lab testing when coverage is denied.

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Alternative Delivery and Payment Models

Resources covering Patient-Centered Medical Home, Accountable Care Organizations, other care models, the CMS Innovation Grant process, and how to evaluate payment contracts.

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