RevCycle Intelligence November 29, 2017
Healthcare stakeholders recently encouraged CMS to reconsider the financial risk requirements for Advanced Alternative Payment Models (Advanced APMs), arguing that the risk criteria limit participation in the models.
Industry groups, including the American Hospital Association (AHA), American College of Physicians (ACP), and America’s Essential Hospitals, used the recent CMS call for feedback on the Innovation Center’s new direction to criticize MACRA’s Advanced APM pathway. The federal agency aims to move more eligible clinicians to alternative payment models by incentivizing participation in risk-based models that reimburse clinicians based on quality measures and certified EHR use.
However, the groups contended that the financial risk requirements are too stringent. Advanced APMs must be part of an expanded medical home or require participants to...
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