Organizations Advocate to CMS to Expand Advanced APM Opportunities to Include APMs Under Medicare Advantage

On May 12, 2017, ten organizations submitted a letter to Secretary of Centers for Medicare and Medicaid Services Tom Price urging him to afford physicians and physician groups credit for participation in Medicare Advantage Alternative Payment Models (APMs) for the Advanced APM pathway of the Quality Payment Program (QPP). Under the QPP, physicians who meet participation thresholds in Advanced APMs identified by CMS earn bonuses and higher annual updates.


While currently only Medicare-based APMs are eligible for the Advanced APM pathway under the QPP, the MACRA statute requires CMS to implement an All-Payer Combination Advanced APM option by 2021. Medicare Advantage APMs could potentially qualify under this option.

The letter is available here.

More information about the Quality Payment Program is available here.


For more information visit the McDermottPlus MACRA Resource Center or contact Sheila Madhani at 202-204-1459,