Alternative Payment Models
Alternative payment models are becoming more advanced as the government drives to accelerate generated savings. Track and stay ahead of this evolution to identify strategic partnerships and measure results.
Featured Content
Hospital Willingness to Assume Risk Growing
Majority of hospitals in BPCI Advanced, the second iteration of CMS’ largest bunded payment initiative, have no prior experience with risk in the original BPCI program.
Provider Performance Under Oncology Care Model Varies by Cancer Type
Clinicians who treat certain types of cancer may be better positioned to earn performance-based payments under the Oncology Care Model.
Experienced Medicare Accountable Care Organizations Generate Savings
Assuming risk appears to be a less important factor than experience in predicting ACO success.
CMS Proposal Encourages Advanced Alternative Payment Model Participation
Early adoption and participation in an AAPM can provide a higher incentive payment to Medicare clinicians than MIPS.
Readmission Rates Are 6 Times Higher for Some Conditions in Medicare’s New Bundled Payment Program
As the deadline approaches for providers to make decisions on their participation in BPCI Advanced, Avalere analysis shows that certain conditions may provide greater opportunity for success.
The Future of the Center for Medicare & Medicaid Innovation
On April 24, 2018, Avalere experts were joined by Aledade CEO, Farzad Mostashari, MD, to discuss the latest developments coming out of the Center for Medicare & Medicaid Innovation (CMMI).
Webinar: The Future of CMMI: Where Do We Go from Here?
Avalere experts are joined by Aledade CEO, Farzad Mostashari, MD, discussing the latest developments coming out of the Center for Medicare & Medicaid Innovation (CMMI).
BPCI Advanced Provides a Glimpse into the Future of Bundled Payments
Last month, the Centers for Medicare & Medicaid Services (CMS) released a Request for Application (RFA) for the Bundled Payment for Care Improvement (BPCI) Advanced initiative.
BPCI Advanced: What Hospitals and Physicians Need to Know
With applications for the new Bundled Payment for Care Improvement (BPCI) Advanced initiative due on March 12, providers have a short window to act.
Our Take on the BPCI Request for Application Announcement
The Centers for Medicare & Medicaid Services (CMS) have released a Request for Application (RFA) for the Bundled Payments for Care Improvement (BPCI) Advanced Initiative.
Webinar: Looking Ahead: How Will New Payment Models Evolve Under MACRA?
As the industry continues to see a shift from volume to value, Avalere experts examine the future of Medicare's Quality Payment Program under a new administration.
Video: Navigate Value-Based Payments
Watch this short video of Fred Bentley from our Provider Practice, discuss insights on navigating the transition from volume to value-based care in a changing healthcare environment.
Podcast: E3 – Positioning for Success in the Merit-Based Incentive Payment System
In the final episode of our QPP podcast series, Nelly Ganesan, one of our MACRA experts, talks about the Merit-Based Incentive Payment System (MIPS) optimization.
Podcast: E2 – Qualifying Alternative Payment Model Participants
In our second QPP podcast, John Feore, one of our alternative payment experts, talks about the Advanced APM option and its qualifications.
Podcast: E1 – Navigating MACRA in the First Performance Year
2017 marks the first performance year for providers in the value-based Quality Payment Program (QPP), which implements two new payment models for clinicians who participate in Medicare. Tune in as our experts kick off a podcast series covering: Requirements and payment adjustments under QPP 2017 performance year milestones, qualifying clinicians for Alternative Payment Models (APMs), and optimizing the Merit-Based Incentive Payment System (MIPS).
Risk-Bearing ACOs Growing in Popularity Under Medicare Programs
On January 18, 2017, the Centers for Medicare & Medicaid Services (CMS) announced the new Accountable Care Organization (ACO) participants in the Medicare Shared Savings Program (MSSP) for 2017.
Podcast: Navigating Bundled Payment Models in 2017
Fred Bentley fills you in on the core components of the EPM final bundled payment rule and the future of bundled payment models.
Avalere Analysis on Final EPM Bundle Rule
Today, the Centers for Medicare & Medicaid Services took another step in shifting Medicare to a value-based payment model that rewards hospitals for delivering better care at a lower cost.
Webinar: EPMs: The Newest Bundled Payment Model
CMS released another mandatory bundled payment proposed rule which will significantly expand the scope of hospitals bearing risk for episodes of care nationally.
Podcast: E4 – The Evolution of Payment Models and the Impact on Life Sciences Companies
In our final bundled payment podcast, Avalere's Adam Borden discusses how the potential updates may impact device manufacturers.