In first MIPS year, advanced APM benefits will be rare — and risky

Why This Topic Matters

The article helps readers understand which providers may be exempt from MIPS reporting, what broad criteria define advanced APM participation, and why the first year of the program is expected to affect relatively few organizations. That matters for practices evaluating Medicare payment strategy and reporting obligations.

Article Sections

1. Which APMs can avoid MIPS reporting

   This section outlines the Medicare policy background for MIPS and advanced APMs and describes the general framework used to identify qualifying models. It also references the organizations and rulemaking context involved in the discussion.

2. Risk of APMs explained

   This section discusses the general concept of financial risk in advanced APMs and how the rule describes the types of risk involved. It also notes the limited set of models expected to qualify in the first year.

3. You may be glad you’re not an advanced APM

   This section compares the broad appeal of MIPS versus advanced APM participation and discusses why providers may weigh reporting relief against shared risk. It also touches on the importance of partner performance and model-specific details.