Payment
Learn how to navigate potential payment hurdles when dealing 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 more details about these telehealth flexibilities and how your practice can adapt to mitigate any future service disruptions, please see the Telehealth Best Practices Overview Document for more information.
Hospital at Home (HaH) programs, which enabled hospitals to deliver inpatient-level care in patients’ homes under special CMS waivers, are now particularly 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 on the impact on the HaH program, please see the best practices document.
Medicare
Resources to ensure you are paid appropriately, including web-based educational tools and how to bill for an annual wellness visit. Also find information pertaining to the Quality Payment Program, including deadlines.
Medicaid
Learn more about the Medicaid and CHIP programs, both at the federal level and in your own state.
Private Payers Insurance
Materials to help you navigate a variety of issues specific to private payer insurance plans, including details in a standard payer contract and advice on how to retain lab testing when your payer is refusing coverage.
Alternative Delivery and Payment Models
A broad array of resources covering Patient-Centered Medical Home, Accountable Care Organizations, other care models,the CMS Innovation Grant process, and how to evaluate payment contracts.