Available Now: Multi-Payer Other Payer Advanced APMs List

View New Other Payer Advanced APM Resources

Under the Quality Payment Program’s All-Payer Combination Option, State Medicaid Agencies, Medicare Advantage and other Medicare Health Plans, as well as commercial and private payers participating in CMS-sponsored Multi-Payer payment arrangements (CMS Multi-Payer Models), may submit information to CMS about their payment arrangements with eligible clinicians. CMS will determine whether each submitted payment arrangement constitutes an Other Payer Advanced Alternative Payment Model (APM) for a given Performance Year. If a payer chooses not to (or is not eligible to) submit its arrangements to CMS, eligible clinicians or APM Entities participating in the payment arrangement may do so.

We are publishing a list of payment arrangements with CMS Multi-Payer Models that CMS has determined to be Other Payer Advanced APMs for the Calendar Year (CY) 2019 QP Performance Period, based on submissions from payers made earlier this year through the Payer Initiated Process, and based on the Other Payer Advanced APM criteria in effect. The list is in the document on the QPP Resource Library under the title “2019 QPP Multi-Payer Other Payer Advanced APMs.”

For More Information

Visit the Quality Payment Program Website
Contact the Quality Payment Program at QPP@cms.hhs.gov or 1-866-288-8292/TTY: 1-877-715-6222.

Register for November 15 Quality Payment Program Year 3 Final Rule Overview Webinar

The Centers for Medicare & Medicaid Services (CMS) is hosting a webinar on Thursday, November 15, 2018 at 12:00 PM ET to provide information about the final rule for Year 3 (2019) of the Quality Payment Program.

During the webinar, CMS subject matter experts will:

Provide an overview of the Quality Payment Program, Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (Advanced APMs)
Discuss Year 3 MIPS and Advanced APM policy changes
Highlight key differences between Year 2 and Year 3 requirements
Review ways to connect to the no-cost technical assistance and identify additional resources where attendees can learn more.

Webinar Details

Title: Quality Payment Program Year 3 (2019) Final Rule Overview Webinar

Date: Thursday, November 15, 2018

Time: 12:00 – 1:30 p.m. ET

Registration Link: https://engage.vevent.com/rt/cms/index.jsp?seid=1288

The audio portion of this webinar will be broadcast through the web. You can listen to the presentation through your computer speakers. CMS will open the phone line for the Q&A portion. If you cannot hear audio through your computer speakers, please contact CMSQualityTeam@ketchum.com.