HIMSS News

New Opportunities to Join Advanced Alternative Payment Models under MACRA Quality Payment Programs

On Tuesday, October 25, the Centers for Medicare and Medicaid Services (CMS) announced new opportunities for clinicians to join Advanced Alternative Payment Models (APMs) under the CMS Quality Payment Program created through MACRA. Advanced APMs are developed by the CMS Innovation Center to improve high quality, coordinated care. Physicians who participate in Advanced APMs can potentially earn incentive payment under the Quality Payment Program that aligns incentives for high-quality, patient-centered care.

CMS will be re-opening 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. Additionally, a two-sided risk Oncology Care Model will be available in 2017, qualifying the model as an Advanced APM in the 2017 performance year.

In regards to innovative care models, CMS Acting Administrator Andy Slavitt remarked that, “Every day, the CMS Innovation Center is improving the future of Medicare by testing innovative care models across the Country.  Now, thanks to bipartisan MACRA, clinicians have more opportunities and motivation to join these evidence-based approaches, which aim to improve care quality while creating cost savings.” Dr. Patrick Conway, Deputy Administrator of CMS, states that with these new opportunities, “CMS expects that by the 2018 performance period, 25 percent of clinicians in the Quality Payment Program will earn incentive payments by being a part of these advanced models.”

For more information on Advanced APMs and the Quality Payment Program under MACRA, please visit the CMS website.