PAI Offers Suggestions On Improving Alternative Payment Models

The Physicians Advocacy Institute, led by North Carolina Medical Society (NCMS) CEO Robert W. Seligson last week submitted comments to the Centers for Medicare and Medicaid Services (CMS) on ways to improve the Alternative Payment Model (APM) and other CMS Innovation Center models. Read the comments.

The APM is part of the Medicare Access and CHIP Reauthorization Act (MACRA), which signals a major change in how physicians will be reimbursed. Learn more on the NCMS MACRA webpage.

PAI identified five overarching objectives to inform the future development and modification of APMs and Innovation Center models:

  • Provide increased flexibilities, incentives and greater resources for physicians and other clinicians;
  • Be patient-centric and include elements that focus on patient needs, as well as encourage and incentivize patient engagement;
  • Include pilots and programs with clear guidance and enhanced clarity;
  • Rely upon input from, and collaboration with, state medical associations; and
  • Reduce the physician burden.

PAI seeks to better understand the challenges facing physicians and their patients and to educate policymakers about these challenges. PAI also develops tools to help physicians prepare for and respond to policies and marketplace trends that impact their ability to practice medicine.


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