Alternative Payment Model (APM)

Alternative Payment Models (APMs) reward eligible clinicians and practices for taking on some risk related to their patients’ outcomes. An APM often applies to three primary categories:

• A specific clinical condition
• A care episode
• A patient population

In the Quality Payment Program, there are several APM pathways:

• Advanced APM
• All-Payer Combination Advanced APMs
• MIPS APM

To get a detailed understanding of APMs and how you may participate:

• Check your participation status throughout the year to see if CMS has identified you as participating in an APM.
• Visit the ASA MACRA FAQs
• Use the APM Assessment Framework for Providers (pdf) to help you assess whether a particular APM may be appropriate for your practice
• Consult QPP APM resources