ASN MACRA Update: New Opportunities to Join Advanced APMs

By David White

New opportunities to join Advanced Alternative Payment Models (APMs)

Why Join an Advanced APM?

First, you need to evaluate your practice to determine your best fit under the new Quality Payment Program (QPP):

Alternative Payment Models (APMs) – especially Advanced APMs or

Merit-based Incentive Payment Program

Clearly, the APM approach is a large focus for CMS in the new QPP.  Under the QPP, Medicare clinicians in advanced alternative payment models (AAPMs) receive bonuses and avoid the quality scoring system.

New research indicates that in 2016 about 25 percent of healthcare dollars were tied to APMs, up from 23 percent in 2015; about 18 percent of Medicaid dollars were tied to APMs; and about 41 percent of Medicare Advantage healthcare dollars were tied to APMs.

What’s Available?

In 2017, clinicians may earn a 5 percent incentive payment through participation in the following Advanced APMs:

Comprehensive ESRD Care Model (Large Dialysis Organization (LDO) arrangement)

Comprehensive ESRD Care Model (non-LDO arrangement)

CPC+

Medicare Shared Savings Program ACOs - Track 2

Medicare Shared Savings Program ACOs - Track 3

Next Generation ACO Model

Oncology Care Model (two-sided risk arrangement)

In 2018, CMS anticipates that clinicians may also earn the incentive payment through participation in the following models:

ACO Track 1+

New voluntary bundled payment model

Comprehensive Care for Joint Replacement Payment Model (Certified Electronic Health Record Technology (CEHRT) track)

Advancing Care Coordination through Episode Payment Models Track 1 (CEHRT track)

What to Look For?

CMS expects to re-open applications for new practices and payers in the Comprehensive Primary Care Plus (CPC+) model and new participants in the Next Generation Accountable Care Organization (ACO) model for the 2018 performance year. This list is expected to grow throughout 2017.

Questions? policy@asn-online.org

​ASN Policy QPP Resource Page here.

​KNO list of background and general MACRA resources here.

​10/29/16

Category:
Subcategory:
Author:
David White
Article Image:
Body:

New opportunities to join Advanced Alternative Payment Models (APMs)

Why Join an Advanced APM?

First, you need to evaluate your practice to determine your best fit under the new Quality Payment Program (QPP):

Alternative Payment Models (APMs) – especially Advanced APMs or

Merit-based Incentive Payment Program

Clearly, the APM approach is a large focus for CMS in the new QPP.  Under the QPP, Medicare clinicians in advanced alternative payment models (AAPMs) receive bonuses and avoid the quality scoring system.

New research indicates that in 2016 about 25 percent of healthcare dollars were tied to APMs, up from 23 percent in 2015; about 18 percent of Medicaid dollars were tied to APMs; and about 41 percent of Medicare Advantage healthcare dollars were tied to APMs.

What’s Available?

In 2017, clinicians may earn a 5 percent incentive payment through participation in the following Advanced APMs:

Comprehensive ESRD Care Model (Large Dialysis Organization (LDO) arrangement)

Comprehensive ESRD Care Model (non-LDO arrangement)

CPC+

Medicare Shared Savings Program ACOs - Track 2

Medicare Shared Savings Program ACOs - Track 3

Next Generation ACO Model

Oncology Care Model (two-sided risk arrangement)

In 2018, CMS anticipates that clinicians may also earn the incentive payment through participation in the following models:

ACO Track 1+

New voluntary bundled payment model

Comprehensive Care for Joint Replacement Payment Model (Certified Electronic Health Record Technology (CEHRT) track)

Advancing Care Coordination through Episode Payment Models Track 1 (CEHRT track)

What to Look For?

CMS expects to re-open applications for new practices and payers in the Comprehensive Primary Care Plus (CPC+) model and new participants in the Next Generation Accountable Care Organization (ACO) model for the 2018 performance year. This list is expected to grow throughout 2017.

Questions? policy@asn-online.org

​ASN Policy QPP Resource Page here.

​KNO list of background and general MACRA resources here.

​10/29/16

Area(s) of Interest: