MGMA to CMS: Add Medicare Advantage value-based payment contracts to Advanced APM list

Originally published in the June 7, 2017 issue of MGMA’s Washington Connection
Reprinted with permission from MGMA

MGMA joined several provider organizations in a letter urging the Centers for Medicare & Medicaid Services (CMS) to include group practices in value-based arrangements with Medicare Advantage (MA) plans in the Advanced alternative payment model (APM) track of MACRA. Last week, CMS announced nearly 100% of participants in designated Advanced APMs are expected to qualify for a 5% bonus and exemption from the Merit-Based Incentive Payment System (MIPS) based on historical claims data. However, even if 100% of current Advanced APM participants qualify, this is estimated to amount to just 10% of all eligible clinicians in 2017 due to the limited number of existing Advanced APMs. MGMA has repeatedly called for expanded opportunities for group practices to move away from MIPS into the APM track, and we believe adding qualifying MA risk-based arrangements to the Advanced APM list is an important step in this direction.

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