PRACTICING NEUROLOGISTs & ADMINISTRATOrs

Advanced Alternative Payment Models

Alternative Payment Models (APMs) are payment approaches that incentivize high-quality and cost-efficient care. APMs can apply to a specific clinical condition, a care episode, or a population. Bundled payments, Accountable Care Organizations (ACOs), Patient-Centered Medical Homes (PCMHs), and episodes of care are all examples of APMs.

Advanced Alternative Payment Models are a subset of APMs. Qualified participants in Advanced APMs may earn a 5-percent incentive payment and be exempt from MIPS if enough of their patients are included in the APM. Learn more about which models are Advanced APMs at qpp.cms.gov.

Contact macra@aan.com with any questions.

Neurology-specific APMs

Currently, there are limited opportunities for neurologists to participate in APMs, so the AAN is working to create new options for neurologists. Two models have been developed: one focused on complex headaches and the other on epilepsy.

One of these has already been submitted to the Physician-Focused Payment Model Technical Advisory Committee (PTAC) for consideration. If approved, these models may qualify under the Advanced APM track of MACRA and allow neurologists to negotiate new arrangements with payers.

View Draft APMs

Learn about the two condition-based Alternative Payment Models that the AAN has created.


Copyright License
The AAN has developed these APMs as educational tools for its members. AAN members may print and use the APMs for their noncommercial purposes, which includes sharing the documents with insurers.

Disclaimer
The APMs do not contain legal advice. Members choosing to use the APMs should consult their own legal counsel or other professional advisors about using the documents in their specific situations.

The AAN has undertaken reasonable efforts to make the APMs as accurate and useful as possible but cannot guarantee their accuracy or utility. In addition, the AAN intends to, but is not obligated to, update the APMs from time to time.

Finally, the AAN is not responsible for any losses, expenses, damages, claims, or liabilities incurred by any user or third party that arise from the use of the APMs.

Questions?

Questions about MACRA? Contact us for more information.

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