An Alternative Payment Model (APM) is a payment approach that gives added incentive payments to provide high-quality and cost-efficient care. APMs can apply to a specific clinical condition, a care episode, or a population. There are 2 types of APMs in the Quality Payment Program, Advanced APMs and MIPS APMs.
|Table 1: Requirements for APM Incentive Payments for Participation in Advanced APMs (Clinicians must meet payment or patient requirements)|
|Performance Year||2017||2018||2019||2020||2021||2022 and later|
|Percentage of Medicare Payments through an Advanced APM|
|Percentage of Medicare Patients through an Advanced APM|
APM participation can be looked up via this Centers for Medicare and Medicaid Services (CMS) tool: https://data.cms.gov/qplookup