In long-awaited physician pay rule,

CMS Proposes Counting MA When Determining Who Qualifies As APMs

By John Wilkerson / April 27, 2016 at 8:49 PM
The long-awaited proposal to revamp Medicare's physician-pay system doesn't count arrangements in Medicare Advantage toward the payment calculation in the Alternative Payment Model Incentive Payments program, but CMS proposes to use MA arrangements, as well as pay arrangements from private and Medicaid plans, to determine whether providers qualify as alternative payment models under the pay scheme. Some providers urged the agency to credit participation in Medicare Advantage toward alternative pay model thresholds, but it is not clear if the proposal...

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.