• AAFP Advocacy Focus: Alternative Payment Models (APMs)


    In April 2015, the Medicare Access and CHIP Reauthorization Act of 2015 became law. MACRA:

    • repealed the sustainable growth rate \ methodology for determining updates to the Medicare physician fee schedule;
    • established annual positive or flat fee updates for 10 years and instituted a two-track fee update, beginning in 2019;
    • established the Merit-based Incentive Payment System, which consolidated existing Medicare quality programs; and
    • established a pathway for physicians to participate in an alternative payment model.

    Why We Fight

    The Academy has long advocated for APMs as significant opportunities for family physicians ready to move away from fee-for-service, toward payment policies that promote and finance comprehensive, continuous, coordinated primary care.

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