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March 14, 2017

American Journal of Managed Care (AJMC) – Two New Advanced APMs Could be the Answer for Medical Specialists

By Fred Rosenberg
See full article in AJMC

The enactment of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 will fundamentally alter payment to physicians treating Medicare patients. MACRA incentivizes physicians through 2 payment systems: the Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs). MIPS is a modified fee-for-service system which distributes a portion of physician payments based on quality of care, resource use, meaningful use of electronic health records and clinical practice improvements. APMs require a physician to take on risk and provide compensation based on quality of care. Providers may be eligible to receive a Medicare payment bonus if a majority of their reimbursements come from APMs. Read More >>

Filed Under: DHPA in the News, Newsroom

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