Alternative Payment Models
Overview of APMs
In April 2015, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) became law. The law:
- Repeals the sustainable growth rate (SGR) methodology for determining updates to the Medicare physician fee schedule
- Establishes annual positive or flat fee updates for 10 years and institutes a two-track fee update beginning in 2019.
- Establishes the Merit-based Incentive Payment System (MIPS) that consolidates existing Medicare quality programs.
- Establishes a pathway for physicians to participate in an Alternative Payment Model (APM).
Recent AAFP Communications
AAFP Letter in Response to CMS on Physician Self-Referral Regulations - December 27, 2019(5 page PDF)
AAFP Letter in Response to OIG on Anti-Kickback Issues - December 27, 2019(4 page PDF)
AAFP Letter Responding to House Ways and Means Committee Rural and Underserved Communities Health Task Force Request for Information - November 26, 2019(6 page PDF)
AAFP Initial Summary of the 2020 Final Medicare Physician Fee Schedule - November 1, 2019(3 page PDF)
AAFP Response to the 2020 Proposed Medicare Physician Fee Schedule - September 18, 2019(61 page PDF)
Joint Communications with Other Organizations
Joint Letter to Senators Cortez Masto and Roberts on the Rural ACO Improvement Act (S.2648) - October 22, 2019(2 page PDF)
Joint Letter to CMS on APM Bonus Payments - September 16, 2019(2 page PDF)
Joint Letter to Congress with MACRA Legislative Recommendations - June 3, 2019(6 page PDF)
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