The Centers for Medicare & Medicaid Services recently opened the advanced alternative payment model module for Medicare Advantage plans. The module will allow Medicare plans to request that their payment arrangements receive “an other payer advanced APM determination” as part of the Quality Payment Program mandated by the Medicare Access and CHIP Reauthorization Act. Beginning in the 2019 performance year, eligible clinicians may use their other payer risk contracts in combination with participation in an advanced APM in traditional Medicare to qualify for the 5% bonus under the advanced APM track. For more information, see the CMS guide that assists plans in the submission process.

Related News Articles

Headline
A new report from KFF reveals that Medicare Advantage enrollees had access to just 48% of the physicians available to Traditional Medicare beneficiaries in…
Headline
The AHA Oct. 23 recommended changes to the Centers for Medicare & Medicaid Services’ Wasteful and Inappropriate Services Reduction model to address…
Headline
The Centers for Medicare & Medicaid Services Oct. 21 announced that it has instructed all Medicare Administrative Contractors to lift a hold and begin…
Headline
A report by the Department of Health and Human Services Office of the Inspector General found that many Medicare Advantage and Medicaid managed care plans…
Headline
Medicare open enrollment for 2026 began Oct. 15 and runs through Dec. 7. During the annual enrollment period, Medicare-eligible individuals can check their…
Headline
The AHA Oct. 3 responded to the Medicare Payment Advisory Commission’s recent analysis on the financial impacts of Medicare Advantage enrollment growth on…