CHQPR March 2, 2020
In 2010, Congress created the Center for Medicare and Medicaid Innovation (CMMI) and provided it with significant funding and regulatory flexibility to develop and test Alternative Payment Models (APMs). In MACRA, Congress created incentives for physicians to participate in Medicare APMs and specifically encouraged the creation of more physician-focused APMs.
Unfortunately, a decade after creation of CMMI and five years after passage of MACRA:
- CMS has not created APMs for most Medicare beneficiaries or physicians. The majority of Medicare beneficiaries and the majority of physicians are unable to participate in any Medicare APMs. There is no Primary Care-Focused APM available for most Medicare beneficiaries and their primary care providers, there are no Condition-Based APMs designed to support better...
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