Alternative Payment Models (APMs) are an important part of the Administration’s effort to build a system that delivers better care and one in which clinicians work together to have a full understanding of patients’ needs, and clinicians who participate in APMs are paid for the quality of care they give to their patients. The Medicare Shared Savings Program (Shared Savings Program), Next Generation Accountable Care Organization (ACO) Model, Comprehensive End-Stage Renal Disease (ESRD) Care Model (CEC), Comprehensive Care for Joint Replacement (CJR) Model, and Comprehensive Primary Care Plus (CPC+) Model all apply the concept of paying for quality and effectiveness of care given to patients in different health care settings.
CMS estimates clinicians participating under the 2015 Medicare Access and CHIP Reauthorization Act (MACRA) Alternative Payment Model pathway would double between 2017 and 2018, or from an estimated 70,000–120,000 to 180,000–245,000, due to the agency initiating the Comprehensive Primary Care Plus (CPC+) demonstration, a new accountable care organization (ACO) model titled Track 1+ and reopening the Next Generation ACO demonstration.
Presented by Deirdre Baggot, PhD, this APM master class will provide insights into and strategic approaches for the successful implementation of CMS’s Alternative Payment Models. In addition, our presenter will also shed light on what to expect with bundled payments over the course of the next 18 months and beyond, including an update around The Comprehensive Care for Joint Replacement (CJR) Model, The Bundled Payments for Care Improvement (BPCI) Model, and other innovative bundles in the industry.
- Understand how APMs impact organizations and providers in the short-term and long-term
- Apply key strategies for driving economic and clinical success within APMs
- Understand the implications of bundled payment participation on an organization’s financial outlook as well as on participation in other value-based payment arrangements