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CMS Releases Toolkit To Help Stakeholders Develop APMs

A new toolkit from the Centers for Medicare & Medicaid Services (CMS) aims to help hospitals and health systems develop proposals for alternative payment models (APMs).

In October, CMS finalized the the Quality Payment Program (QPP), a new approach to physician payment, required by the Medicare Access and CHIP Reauthorization Act of 2015. Eligible clinicians will participate in one of two tracks: the default merit-based incentive payment system or advanced APMs.

The new CMS toolkit, from the agency’s Center for Medicare & Medicaid Innovation, outlines factors that stakeholders should focus on when designing APMs, including:

  • the type of APM to propose, such as a next generation accountable care organization model;
  • how the APM will improve clinical practice and how improvements will be measured;
  • the rationale behind designing an APM;
  • the scale of the APM;
  • how the APM will align with payers and CMS programs; and
  • how easily participants will be able to participate in the APM.

America’s Essential Hospitals has established a resource page for QPP, including information about APMs. Visit this page for new and updated information.

Contact Director of Policy Erin O’Malley at or 202.585.0127.


About the Author

Michelle Rosenfeld is manager of communications at America's Essential Hospitals.

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