Leavitt Partners May 3, 2017
Natalie Burton

Background

The Quality Payment Program (QPP) under MACRA is now more than three months underway into the first payment year. However, there are still many nuances of the program, specifically under the multi-payer Advanced APM option, that payers —including commercial, Medicare Advantage, and Medicaid — and clinicians need to understand before they can begin collaborating, and time is off the essence.

Becoming an Advanced APM
In the first two years of the QPP providers who want to participate in the Advanced APM track not only have to find an appropriate model that they can participate in, but they also must have sufficient Medicare payments or patient counts to meet established thresholds. The game changes in performance year 2019 (payment year...

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Topics: CMS, Health System / Hospital, MACRA, Medicaid, Medicare, Medicare Advantage, Patient / Consumer, Payer, Physician, Primary care, Provider, RCM (Revenue Cycle Mgmt), Value Based
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