CMS To Count Participation In MA Toward Alternative Pay Model Calculations

By John Wilkerson / November 8, 2017 at 10:42 AM
In another break from Obama-era policy, CMS plans to count participation in Medicare Advantage arrangements toward pay calculations in Alternative Payment Model Incentive Payments program, according to the Quality Payment Program rule. If doctors receive a significant portion of their revenue from alternative pay models, the Quality Payment Program gives them a 5 percent Part B pay hike on top of the bonuses they might receive for reducing Medicare spending by participating in those models. Some provider groups, including CAPG...


Not a subscriber? Sign up for 30 days free access to exclusive, detailed reporting on drug pricing reforms, Medicaid policy, FDA news and much more.