CMS Announces Additional Opportunities for Clinicians to Join Innovative Care Approaches
Centers for Medicare & Medicaid Services (10/26/16)
Clinicians now have more opportunities to join Advanced Alternative Payment Models (APMs) developed by the Centers for Medicare & Medicaid Services' (CMS) Innovation Center. Clinicians can enhance care and potentially earn an incentive payment under the Quality Payment Program created through the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). CMS expects to re-open applications for new practices and payers in the Comprehensive Primary Care Plus (CPC+) model and new participants in the Next Generation Accountable Care Organization (ACO) model for the 2018 performance year. In addition, CMS says the Innovation Center's Oncology Care Model with two-sided risk will now be available in 2017, which will qualify the model as an Advanced APM beginning in the 2017 performance year. Clinicians may earn a 5 percent incentive payment in 2017 under the Quality Payment Program through adequate participation in Advanced APMs, including Comprehensive ESRD Care Model (Large Dialysis Organization (LDO) arrangement) and Medicare Shared Savings Program ACOs - Tracks 2 and 3. CMS also anticipates that in 2018, clinicians may earn the incentive payment through sufficient participation in additional models, including ACO Track 1+ and New voluntary bundled payment model. These lists will continue to be updated as more models are proposed and developed in partnership with the clinician community and the Physician-Focused Payment Model Technical Advisory Committee.