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Advisory Board January 8, 2025
Advanced APMs: What they are and why they matter
Healthcare DIVE October 26, 2016
With the issuance of the MACRA implementation final rule, provider preparation is in full swing and the Centers for Medicare & Medicaid Services (CMS) is offering providers new ways to participate in the Quality Payment Program.
MACRA aims to replace the sustainable growth formula with a .5% annual rate increase through 2019, at which point physicians are encouraged to adopt one of two quality payment programs: Merit-Based Incentive Payment System (MIPS) or Alternative Payment Model (APM).
APMs, to borrow from Aledade’s Dr. Farzad Mostashari and Travis Broome, “are not just incentives, but fundamental changes in how we pay for healthcare in the U.S. It is these models, particularly those dealing with total cost of care, that have the potential to...
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Topics: ACA (Affordable Care Act), ACO (Accountable Care), CMS, Congress / White House, Employer, EMR / EHR, Health IT, Health System / Hospital, Healthcare System, HHS, HIE (Interoperability), HIM (Health Inf Mgmt), HITECH, MACRA, Medicaid, Medicare, Medicare Advantage, Patient / Consumer, Payer, Physician, Population Health Mgmt, Primary care, Provider, RCM (Revenue Cycle Mgmt), Regulations, Retail care, Self-insured, Telehealth, Value Based