Medical Economics September 28, 2022
Todd Shryock

If incentives are allowed to expire at the end of the year, it could negatively affect participation rates

More than 800 health care associations, accountable care organizations, medical practices, and health systems wrote a letter to congressional leaders to extend incentive payments intended to encourage participation in risk-bearing alternative payment models (APMs). The incentives will expire without congressional action.

The incentives were created by congress in 2015 and include a 5 percent payment to help providers move to new payment models, including ACOs. While 300,000 clinicians are expected to receive the incentive this year, this is far short of what was intended. The letter calls for more time to allow more providers to move to APMs, which can improve quality...

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Oliver Wyman

Topics: ACO (Accountable Care), CMS, Congress / White House, Govt Agencies, Payment Models, Provider, Value Based
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