Doctors may sit out of Medicare Advantage APM

Doctors say they are likely to sit out of a planned CMS experiment that would allow doctors in Medicare Advantage plans to qualify as participating in an alternative pay model.

While the agency suggested the demonstration in June, physicians say the proposed structure places too much administrative burden on doctors and they can’t consider it as a pay option, according to Donald Crane, CEO of America’s Physician Groups, a trade group for medical practices.

Under the proposal, the agency would accept applications to participate in the alternative pay model from individual clinicians rather than using tax identification numbers or physician group levels. But that’s administratively complicated, according to Crane.

“We fear that many physician groups will decide not to...