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ACC's Alternative Payment Model (APM) Framework is composed of closed-ended questions that guide members through the most critical implications the cardiology community should consider when evaluating participation in an APM. Click through the four modules below to assess whether your practice environment is prepared for APM participation:
Approaches to value-based payment strategies, external partnerships, workforce requirements and other foundational concepts must be fully considered prior to APM participation.
Coordinating care along the continuum, engaging patients to support their care plan and defining high risk patients are critical factors for success in APM arrangements.
Practices should understand the difference between upside and downside risk and consider risk mitigation for business and performance risk within APMs for optimum financial success.
External reporting for sharing performance improvement information and analysis to remediate gaps in performance are required by Federal and commercial payers for organizations participating in APMs.
Additional Resources
- FAQs: Alternative Payment Models 101
- Health Care Transformation Task Force Framework
- Health Care Payment Learning & Action Network's APM Framework Final White Paper
- Center for Medicare and Medicaid Innovation: CMS Innovation Center
- JAMA Cardiology Review: Payment Reform to Enhance Collaboration of Primary Care and Cardiology
