Beginning in January and February, The Centers for Medicare and Medicaid Services will open applications for two CMS Innovation Center models for the 2018 performance year -- new practices and payers in the Comprehensive Primary Care Plus model and new participants in the Next Generation Accountable Care Organization model. These Alternative Payment Models exist to improve care, and to earn additional payments under the Quality Payment Program, part of the Medicare Access and CHIP Reauthorization Act of 2015.
With these new opportunities to join the APMs, CMS expects that by the 2018 performance period, 25 percent of clinicians in the Quality Payment Program will be a part of these advanced models and may be eligible to earn incentive payments.
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For the 2017 performance year under the Quality Payment Program, clinicians may earn a 5 percent incentive payment through sufficient participation in Advanced APMs including: Comprehensive ESRD Care Model, a Large Dialysis Organization arrangement; Comprehensive ESRD Care Model, a non-LDO two-sided risk arrangement; CPC+; Medicare Shared Savings Program Track 2; Medicare Shared Savings Program Track 3; Next Generation ACO Model; and Oncology Care Model, a two-sided risk arrangement.
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In 2018, CMS anticipates that clinicians may also earn the incentive payment through sufficient participation in new and existing models including: Medicare ACO Track 1+ Model; a new, voluntary bundled payment model; Comprehensive Care for Joint Replacement Payment Model (Certified Electronic Health Record Technology track); and Advancing Care Coordination through Episode Payment Models Track 1 (CEHRT track).
The lists will continue to change and grow as more models are proposed and developed in partnership with the clinician community, and with input from the Physician-Focused Payment Model Technical Advisory Committee.
Twitter: @JELagasse