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- Changes in Advanced APMs explained
CMS is emphasizing a shift in health care delivery, aiming for all traditional Medicare beneficiaries to be in accountable care models by 2030.
- This aligns with efforts to transform how health care is managed and delivered nationwide.
What's new: In the latest proposed rule, CMS outlines adjustments in beneficiary attribution for QP status determinations.
- These changes are designed to encourage participation in Advanced APMs and enable more specialists to participate.
Why it matters: Clinicians in Advanced APMs achieving QP or Partial QP status is exempt from MIPS reporting and payment adjustments.
- This exemption provides significant administrative relief and financial incentives for eligible participants.
Details: Congress has also extended the APM Incentive Payment amount to 1.88% for the 2026 payment year.
- This reflects ongoing legislative support to encourage participation in these models.