MACRA QPP Center

Physicians Advocacy Institute

Frequently Asked Questions Updated for 2020

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7. What is an Other Payer Advanced APM?

  • Within the Advanced APM pathway, physicians can participate in Medicare Advanced APMs and, beginning with the 2019 performance year, in Other Payer Advanced APMs. Other Payer Advanced APMs are payment arrangements with any payer other than traditional Medicare. Other Payer Advanced APMs include payment arrangements with states (Medicaid payment arrangements, including Medicaid managed care organization arrangements), Medicare Health Plans, or payers with arrangements that are aligned with a CMS Multi-Payer Model.

    For a list of Other Payer Advanced APMs, please see the following resources:



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