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Feedback Solicited on Opioid Alternative Payment Model

April 19, 2018

McDermott+Consulting

The American Medical Association (AMA) and the American Society of Addiction Medicine (ASAM) are soliciting feedback on a proposed alternative payment model (APM). Participants of the proposed Patient-Centered Opioid Addiction Treatment (P-COAT) APM would be eligible to receive two new types of payments for two separate phases of office-based opioid treatment:

  • Initiation of Medication-Assisted Treatment (IMAT), a one-time payment and
  • Maintenance of Medication-Assisted Treatment (MMAT), monthly payments (if the patient was determined to be appropriate for ongoing therapy).

Patients would receive outpatient treatment using either buprenorphine or naltrexone. They would also have to receive psychological or counseling therapy services as well as care coordination to provide social support or other medical services as needed. A provider would only qualify to receive payment if they were part of an opioid addiction treatment team where they would be contracted to deliver all three types of services.

More details on the proposed model are available here. To find out more about soliciting feedback click here.

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