AHEAD Model Participant Resources

AHEAD Model Overview Information

• AHEAD Model Overlaps Policies Fact Sheet (PDF)
• AHEAD Model Choice and Competition Playbook (PDF)
• Methodology for Defining Primary Care Investments in AHEAD (XLSX)
• Statewide Population Health Accountability Plan (PHAP) 2027 Overview and Guidance (PDF)
• Press Release

Geo AHEAD

• Geo AHEAD Fact Sheet (PDF)
• Geo AHEAD Specification Preview Beneficiary Attribution (PDF)
• Geo AHEAD Specification Preview Entity and Bidding (PDF)
• Geo AHEAD Specification Preview Payment Approaches (PDF)

AHEAD Hospital Global Budgets (HGB)

Payment Specifications (Medicare Fee-For-Service [FFS] HGB)

• Financial Specifications for the CMS-Designed Medicare FFS HGB Methodology Version 3.1 (PDF)
• Financial Specifications for the CMS-Designed Medicare FFS HGB Methodology Version 3.1 Maryland Addendum (PDF)
• CMS-Designed Medicare FFS HGB Version 3.1 At-A-Glance (PDF)
• CMS-Designed Medicare Hospital Global Budget Version 3.0 Methodology Overview Webinar (April 8, 2025)
  • Slides (PDF)
  • Transcript (PDF)

Calculator Tools (Medicare FFS HGB)

• CMS-Designed Medicare FFS Hospital Global Budget Calculator Tool Critical Access Hospital (CAH) Demonstration Recording
  • CAH Calculator At-A-Glance (PDF)
  • CAH Calculator Tool (XLSX)
• CMS-Designed Medicare FFS Hospital Global Budget Calculator Tool Acute Care Hospital (ACH) Demonstration Recording
  • ACH Calculator At-A-Glance (PDF)
  • ACH Calculator Tool (XLSX)

Primary Care AHEAD (PC AHEAD)

Cohort 1 PC AHEAD Payment Specifications & Related Resources

• PC AHEAD Payment Specifications (Basic Pathway) Version 2.0 (PDF)
• PC AHEAD Payment Specifications (Basic Pathway) At-A-Glance (PDF)