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APM

Navigating the Transition to Alternative Payment Models

Network for Regional Healthcare Improvement (NRHI) recognizes that primary and specialty care providers face many challenges as they navigate the complex landscape to transition their practice from a model focused on volume, to value.
This bundle offers a series of videos, checklists, and resources to support the transition to Alternative Payment Models
Faculty Supporting These Efforts:
Mike Silver_2018-sq
Mike Silver, MPH
Corporate Vice President, Improvement Science
Comagine Health
Ryan Brown, MHA, MPH, PMP
Project Manager
Comagine Health

Navigating the Transition to APMs

Understanding Your Options
How to Choose the Right APM and AO
Are you ready to participate in an APM?

APM Readiness Checklists

1. To Join or not to Join an ACO
2. APM Readiness Checklist for Specialists
3. APM General Readiness Checklist for PCPs
4. Accountable Organization Review Checklist

Additional APM Resources

Up to date information about Alternative Payment Model requirements and options.

https://qpp.cms.gov/apms/overview

Definitions and explanations of the terminology used to describe methods of paying for healthcare services.

http://www.chqpr.org/downloads/PaymentReformGlossary.pdf

A landmark tool designed to help health care stakeholders navigate the inherent challenges and opportunities in APM implementation.

https://hcp-lan.org/apm-roadmap/

How do alternative health care payment models (i.e., models other than simple fee-for-service payment) affect physicians and physician practices in the United States?

https://www.rand.org/pubs/research_reports/RR2667.html

Identify and Compare APMs (Advanced Payment Models – including ACOs) in a Region or Area.

https://tinyurl.com/y6kkt4km

This document sheds light on the challenges behavioral health providers face in the process of successfully transitioning to APMs. 

https://tinyurl.com/y4ho6ff8

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