tci Medicare Compliance & Reimbursement - 2017 Issue 5

Industry Note: CMS Considers New APM to Promote Innovation in Pediatrics

Even though the fate of the ACA is in limbo as legislators weigh other options to replace it, MACRA and the push for value-based care ambles on. However, HHS Secretary Tom Price is a vocal opponent of forced bundling and is not a fan of the efforts by CMS Innovation to promote coordinated care, which remain primary components of the advanced Alternative Payment Models (APMs) under the new Quality Payment Program. Despite the uncertainty surrounding the future of these programs under a new administration, CMS has put out a Request For Information (RFI) concerning a possible APM focused on...

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