An APM is a payment approach that gives added incentive payments to provide high-quality and cost-efficient care. APMs can apply to a specific clinical condition, a care episode, or a population.
Advanced APMs (AAPMs)
AAPMs are a subset of APMs, and let practices earn more for taking on some risk related to their patients’ outcomes. You may earn a 5% incentive payment by going further in improving patient care and taking on risk through an Advanced APM.
CMS APM Look-Up Tool
This is an interactive tool where many 2017 APM participants can look up their Qualifying APM Participant (QP) and MIPS APM status based on calculations from claims with dates of service between 1/1/17 and 8/31/17 for the third snapshot.
What models are Advanced APMs?
In 2017, the following models are Advanced APMs, 2018 coming soon:
- Comprehensive ESRD Care (CEC) – Two-Sided Risk
- Comprehensive Primary Care Plus (CPC+)
- Next Generation ACO Model
- Shared Savings Program – Track 2
- Shared Savings Program – Track 3
- Oncology Care Model (OCM) – Two-Sided Risk
- Comprehensive Care for Joint Replacement (CJR) Payment Model (Track 1- CEHRT)
Data Submission Education from CMS
Data submission for the 2017 Performance Year has begun. Starting January 2, 2018 through March 31, 2018 you can login to the CMS QPP portal to report your 2017 data.
- Merit-based Incentive Payment System (MIPS) Data Submission
- Advancing Care Information (ACI) Data Submission for Alternative Payment Models (APMs)
- Data Submission via a Qualified Clinical Data Registry and Qualified Registry