An Alternative Payment Model (APM) is an approach to payment, developed in partnership with clinician communities, providing incentives to clinicians to provide high-quality and cost-effective care. Clinicians must apply or be invited to participate in an APM.
Examples of the approved MIPS-APMs and Advanced APMs 2020 for 2020 include:
- Bundled Payments for Care Improvement Advanced Model (BPCI Advanced)
- Comprehensive ESRD Care (CEC) Model LDO Arrangement, non-LDO Two-Sided Risk Arrangement, non-LDO one-Sided Risk Arrangement
- Comprehensive Primary Care Plus (CPC+)
- Medicare Accountable Care Organization (ACO) Track 1+ Model
- Next Generation ACO Model
- MSSP – Track 1, Track 2, Track 3
- Oncology Care Model (OCM) - Two-Sided Risk, One-Sided Risk
- Vermont Medicare ACO Initiative
- Maryland Primary Care Program
- Independence at Home Demonstration
For a full list of Approved APMS visit the Quality Payment Program Website.
Clinicians who participate successfully in an APM may be exempt from MIPS reporting and have the potential to earn a 5% Medicare incentive payment during 2019 through 2024. Clinicians can use the APM Lookup Tool to check their Qualifying APM Participant (QP) status.
Each APM Type has unique requirements, please contact your APM program coordinator to discuss program and technology requirements.