Advanced APM Pathway

Advanced APM Pathway

If you have visited the site before, please clear your browser cache to ensure that you are viewing the 2018 materials.

Advanced APM Resource Navigation Tool

This interactive tool will help you navigate what resources and support organizations are available and can provide additional information for those already participating in an Advanced APM and those interested in participating in an Advanced APM.

Download

Advanced APM Overview

Advanced APMs are one of two pathways physicians can choose under the Quality Payment Program (QPP. Under the Advanced APM Pathway, physicians may be exempt from participation in the Merit-based Incentive Payment System (MIPS) and be eligible to receive a 5% incentive payment. This resource provides an overview of the relevant QPP rules for Advanced APM participation thresholds and requirements.

Download

Next Generation Accountable Care Organization (ACO) Model

An Advanced Alternative Payment Model (APM) is one of two pathways physicians can choose under the Quality Payment Program (QPP), which was established as part of the Medicare Access and CHIP Reauthorization Act (MACRA). Under the Advanced APM pathway, physicians may be exempt from participation in the Merit-based Incentive Payment System (MIPS) and be eligible to receive a 5% incentive payment. This resource focuses on understanding the variables and rules impacting performance under specific Advanced APMs, specifically the Next Generation Accountable Care Organization (Next Gen ACO) model.

Download

Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) Models

The Centers for Medicare and Medicaid Services (CMS) established the MSSP under the authority of the Affordable Care Act (ACA). This resource focuses on the variables and rules impacting performance under the MSSP ACO Tracks 1, 1+, 2, and 3.

Download

Comprehensive Primary Care Plus (CPC+) Model

This resource focuses on the variables and rules impacting performance under the CPC+ model. CPC+ builds off the results from the Comprehensive Primary Care Initiative which launched in October 2012 and ran through 2016. While CPC+ is a two-part model and engages with payers outside of Medicare, the focus of this overview is on the Medicare component of the model for the QPP Advanced APM pathway.

Download

Oncology Care Model Overview

An Advanced Alternative Payment Model (APM) is one of two pathways physicians can choose under the Quality Payment Program (QPP), which was established as part of the Medicare Access and CHIP Reauthorization Act (MACRA). Under the Advanced APM pathway, physicians may be exempt from participation in the Merit-based Incentive Payment System (MIPS) and be eligible to receive a 5% incentive payment. This resource focuses on understanding the variables and rules impacting performance under specific Advanced APMs, specifically the Oncology Care Model (OCM).

Download

Side-by-Side Comparison of ACOs

This resource provides a side-by-side comparison of the requirements, risk arrangements, and other APM specifications for ACOs in Medicare Shared Savings Program (MSSP) Track 1, 1+, 2, 3 ACOs, and Next Generation ACOs.

Download

APM Building Blocks

An Advanced Alternative Payment Model (APM) is one of two pathways physicians can choose under the Quality Payment Program (QPP), which was established as part of the Medicare Access and CHIP Reauthorization Act (MACRA). Under the Advanced APM pathway, physicians may be exempt from participation in the Merit-based Incentive Payment System (MIPS) and be eligible to receive a 5% incentive payment. This resource focuses on the types of variables and rules to be attuned to for specific Advanced APMs. Specifically, this resource will provide an overview of the interactions between core care management techniques, data insights, and what it means to take risk.

Download

2017 MIPS APM Scoring Resource

This resource details the scoring standard used for MIPS APMs, a hybrid between the MIPS pathway and the Advanced Alternative Payment Model (APM) pathway.

Download