New Alternative Payment Model Participants Announced

Added on Feb 16, 2017

New Alternative Payment Model Participants Announced
Industry Edge February 2017

More than 359,000 clinicians have agreed to participate in four alternative payment models in 2017, according to the Centers for Medicare & Medicaid Services (CMS): the Medicare Shared Savings Program (MSSP), the Next Generation Accountable Care Organization (ACO) Model, the Comprehensive End-Stage Renal Disease (ESRD) Care Model (CEC) and the Comprehensive Primary Care Plus (CPC+) Model.

ACOs in the MSSP grew by a net 47 to 480, including 26 Track 3 ACOs waived from the requirement for a three-day inpatient stay prior to Medicare-covered services at a skilled nursing facility, CMS reported in a statement. Track 2 and 3 ACOs in the MSSP qualify this year as advanced alternative payment models (APMs) under the Medicare Quality Payment Program.

The Next Generation ACO Model, which is also an advanced APM this year, added 28 ACOs in 2017 for a total of 45. The CEC Model, an ACO model for dialysis facilities, nephrologists and other providers, added 24 ACOs in 2017 for a total of 37. Certain CEC tracks also qualify as advanced APMs, the agency reported.

In addition to these Medicare ACO models, about 13,000 primary care clinicians in 14 regions will participate in the new CPC+ Model, a multipayer medical home model, CMS said. The agency also released a request for applications from ACOs interested in joining the Next Generation ACO Model in 2018.