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Interactions of Medicare Alternative Payment Models

by John Harris, Director
and Amanda Brown, Manager

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CMS continues to authorize voluntary and mandatory alternative payment models (APMs) to shift risk to providers. Beyond choosing which models offer the best opportunity, providers must evaluate the impact of participating in multiple APMs simultaneously. Overlapping APMs can be synergistic or self-defeating. Where simultaneous participation is an option, overlapping incentives are complicated and may not be beneficial to one or both models. Providers need to consider which APM takes precedence, along with the degree of risk transferred to providers, revenue implications, and capabilities required to succeed.

Click here to view our infographic describing the interactions of Medicare Alternative Payment Models.