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  4. CAP, AMA Ask for APM Changes to Benefit Physicians

The CAP, the AMA, and a group of physician organizations urged the new director of the CMMI, Elizabeth Fowler, to make improvements in the development of alternative payment models (APMs). In the May 25 letter, the group made several recommendations to improve the process for designing and implementing APMs and engaging the physician community in their development.

The CAP, the AMA, along with 45 physician organizations, outlined the limitations of APMs, and how most physicians did “not have the opportunity to participate in an APM designed for the kinds of patients they treat or the level of risk they are equipped to take on. Existing models are also often geographically limited, excluding physicians in other areas who are interested and well-equipped to participate.” The group provided recommendations to the CMMI on improving APMs by:

  • Increasing transparency and stability of APMs;
  • Enabling APMs to reduce health inequities;
  • Extending incentive payments for APM participation; and
  • Investing in care transformation by medical practices.

The group also urged the CMMI to increase physician engagement in the development of future APMs by:

  • Jointly setting joint goals and process;
  • Dedicating funds to support development and testing of physician-developed APMs; and
  • Providing feedback and data.

The group will follow-up with the CMMI on the future development of APMs.

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