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MACRAFINALRULE SUMMARY TheMedicareAccessandCHIPReauthorizationActof2015(MACRO)repealstheMedicareSustainable GrowthRatemethodologyforupdatestothePhysicianFeeScheduleandreplacesitwithanew approachtopaymentcalledtheQualityPaymentProgram.
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Healthcare providers who are participating in alternative payment models (APMs) and seeking advanced options for payment.
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Entities interested in shifting from traditional fee-for-service reimbursement models to value-based care.
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What is advancedalternativepaymentmodelsadvancedapmsand?
Advanced Alternative Payment Models (Advanced APMs) are payment approaches that provide added incentives to provide high-quality and cost-efficient care. Advanced APMs can apply to a specific clinical condition, a care episode, or a population.
Who is required to file advancedalternativepaymentmodelsadvancedapmsand?
Healthcare providers who meet specific criteria set by the Centers for Medicare & Medicaid Services (CMS) are required to participate in Advanced APMs.
How to fill out advancedalternativepaymentmodelsadvancedapmsand?
Providers must follow the guidelines outlined by CMS for reporting and documenting their participation in Advanced APMs.
What is the purpose of advancedalternativepaymentmodelsadvancedapmsand?
The purpose of Advanced APMs is to promote value-based care delivery and reward providers for delivering high-quality care while maintaining cost efficiency.
What information must be reported on advancedalternativepaymentmodelsadvancedapmsand?
Providers must report on their performance data, quality measures, and financial outcomes as part of their participation in Advanced APMs.
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