Alternative Payment Models (APMs)

Quality & Practice

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Most Medicare clinicians will initially participate in the Quality Payment Program through MIPS to earn a performance-based payment adjustment. Clinicians who take a further step towards care transformation may participate in Advanced APMs to earn a Medicare incentive payment for participating in an innovative payment model. Initially this will only include Advanced APMs that focus on Medicare, but starting in 2019 it will also include clinicians’ participation in Medicaid and private payer arrangements. Learn more about Medicaid and the QPP.

 

APM Glossary

AAPM&R recognizes that APMs can include complex terminology regarding health system transformation and delivery system reform. The Academy has created a glossary to reflect AAPM&R’s current understanding of these terms.

 

CMS APMs and Advanced APMs

Please note: APMs are not limited to CMS. There are many available through commercial insurers. 

Where can I learn more?

Please note: due to the risk involved, it is important to understand your options thoroughly.