MedPAC Discuss Advanced APMs and Other Value-based Issues at November 2018 Meeting

The Medicare Payment Advisory Commission (MedPAC) met last week and covered a number of topics, including:

  • Discussion of restructuring the Advanced Alternative Payment Model (APM) incentive payment in the Quality Payment Program so that the five percent bonus applies only to fee-for-service revenue through the APM (rather than applying to all fee-for-service revenue provided that certain criteria are met);
  • Modernizing the Medicare-Dependent Hospital (MDH) program, including changes to eligibility criteria. (The commissioners punted a recommendation until they could engage in further discussion and broaden it to include additional Medicare programs intended to support rural hospitals, such as MDH, Sole Community Hospitals and Critical Access Hospitals); and
  • Potential solutions for issues with the Medical Advantage quality reporting program, including a discussion of using a budget neutral approach in the future.


For more information visit the McDermottPlus Payment Innovation Resource Center or contact Mara McDermott at 202-204-1462,