RevCycle Intelligence May 17, 2017
Providers in risk-based Medicare Advantage alternative payment models should receive Advanced APM status under MACRA, a coalition argued.
A coalition of ten healthcare industry groups recently urged HHS Secretary Tom Price to weigh risk-based Medicare Advantage alternative payment models the same as Advanced Alternative Payment Models under MACRA.
Qualifying participants in MACRA’s Advanced Alternative Payment Model track will automatically receive a 5 percent incentive payment in 2019 for participating in an approved risk-based alternative payment model in 2017.
However, the incentive payments are not currently available to physicians and physician groups partaking in Medicare Advantage plans that include similar two-sided financial risk structures.
“Recognizing the advantages of alternative payment models in MA [Medicare Advantage], we call on the Administration to...
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