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Health care organizations urge Congress to continue APM incentives

October 19, 2023Jeffrey BendixMedical EconomicsAlternative payment models (APMs),CMS, CMMI, Government, Policy & Regulations

A broad coalition of physician groups and health care organizations is calling on Congress to continue incentives for participating in advanced alternative payment models (APMs) that include financial risk.

In a letter to leaders of the Senate and U.S. House of Representatives, 23 physician and health care associations and more than 600 health systems, hospitals, physician practices, health clinics and accountable care organizations asked legislators to extend the 5% incentive payments for APM participation that were part of the 2015 Medicare Access and CHIP Reauthorization Act (MACRA). The incentives are due to expire at the end of 2023.

“The advanced APM incentive payments have allowed clinicians to cover some of the investment costs of moving to new payment models, including expanding care teams, developing programs to improve beneficiary care, and adopting population health infrastructure,” the letter states. “Incentives also help to improve care for patients by giving clinicians financial resources to expand services beyond those covered by traditional Medicare.”

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