Advanced Alternative Payment Model

Advanced APMs

Advanced APMs are a subset of APMs that reward eligible clinicians and practices to earn greater rewards for taking on some risk related to their patient’s outcomes. In order to be considered an Advanced APM, the model must meet three specific criteria:

  • Align payment with predefined quality measures
  • Use certified electronic health record technology (CEHRT) to document and communicate care
  • Require participants to bear some financial risk

Why participate in an Advanced APM?

There are three primary advantages to participating in the Advanced APM pathway:

  • Excluded from MIPS reporting
  • A 5 percent lump sum bonus is paid through CY 2024
  • Following the phase out of the lump sum bonus, eligible clinicians will receive a 0.75 percent payment update beginning in 2026

There are several models that are eligible Advanced APMs in 2017.

You can also find CMS Resources here and ASA FAQs here for all things MACRA.