Advanced APM Pathway

Advanced APM Pathway

Advanced APM 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 relevant QPP rules for Advanced APM participation thresholds and requirements.

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Next Gen 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 Next Generation Accountable Care Organization (Next Gen ACO) model.

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MSSP Track ACOs 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 Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) Tracks 1, 1+, 2, and 3.

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CPC+ 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 Comprehensive Primary Care Plus (CPC+) model.

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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).

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Side-by-Side Comparison of APMs

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 provides a comparison of a subset of 2017 Quality Payment Program (QPP) Alternative Payment Model (APMs), focusing on Accountable Care Organization (ACO) APMs, including: Medicare Shared Savings Program (MSSP) Track 1, 1+, 2, 3 ACOs, and Next Generation ACOs.

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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.

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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.

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