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January 17, 2023December 19, 2022
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Continuing our blog series on CMS’s massive proposed rule for the implementation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), we dedicate this post to examining the Advance Payment Model (APM) provisions of the proposed rule. As our colleagues discussed on May 3rd, the proposed rule contains two key initiatives: Merit-Based Incentive Payment Systems (MIPS) and Alternative Payment Models (APMs).
Under MACRA’s APM provisions, clinicians must satisfy the requirements of “Qualifying APM Participants” (QPs) by participating in an Advanced APM to be eligible for certain benefits, including: