CMS Opens 2019 QPP Advanced APM Module for MA Plans

The Centers for Medicare & Medicaid Services recently opened the advanced alternative payment model module for Medicare Advantage plans. The module will allow Medicare plans to request that their payment arrangements receive “an other payer advanced APM determination” as part of the Quality Payment Program mandated by the Medicare Access and CHIP Reauthorization Act. Beginning in the 2019 performance year, eligible clinicians may use their other payer risk contracts in combination with participation in an advanced APM in traditional Medicare to qualify for the 5% bonus under the advanced APM track. For more information, see the CMS guide that assists plans in the submission process.