Advanced Alternative Payment Models (APMs)

Advanced Alternative Payment Models

ReportingMD provides population health analytic solutions. We support networks, groups and hospitals in all Advanced Alternative Payment Models (APMs).

Advanced Alternative Payment Models (APMS) or Advanced APMs are a track of the Quality Payment Program that offers a 5% lump sum bonus for achieving threshold levels of payments or patients. Therefore, if you achieve these thresholds, you become a Qualifying APM Participant (QP) and you are excluded from the MIPS reporting requirements and payment adjustment.

Most Advanced APMs are also MIPS APMs. MIPS-eligible clinicians participating in Advanced APMs are included in MIPS if they do not meet the threshold for payments or patients sufficient to become a Qualified Participant (QP).

Advanced APMs are advanced alternative payment models that meet these 3 criteria:

• Use of Certified EHR Technology (CEHRT) by participating clinicians;

• Payment for covered professional services is based on quality measures that are

  comparable to those used in the MIPS quality performance category;

• The model must either:

  • Be an expanded Medical Home Model under CMS Innovation Center

    authority, or

  • Require participants to bear more than nominal financial risk.