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With its new Quality Payment Program (QPP), Medicare is moving from volume- to value-based reimbursement. Alternative Payment Models (APMs) are one of two primary pathways to QPP participation, and they provide the largest payment incentives for participation and performance. APM participation requires providers not only to deliver higher quality care, but also to assume responsibility for controlling or reducing cost. Abundant data exist to demonstrate that palliative care drives both higher quality and lower cost for seriously ill patients, creating significant opportunities for hospice and palliative care providers to potentially thrive in APMs.

Recognizing the challenges and opportunities for Academy members as fundamental changes in care payment and delivery take shape, last fall AAHPM convened an APM Task Force to develop a strategy to support members in engaging and succeeding in APMs. The Task Force has now drafted a proposed APM for palliative care along with strategies for integrating palliative care into other APMs, and AAHPM provided a Letter of Intent to submit its proposal to the Physician-Focused Payment Model Technical Advisory Committee (PTAC), the body established under the Medicare Access and CHIP Reauthorization Act (MACRA) to review proposed models and make recommendations to the Secretary of Health & Human Services for testing and implementation of APMs.

To refine its APM proposal and make sure it works for palliative care providers who care for patients with various levels of need and across a wide range of settings, AAHPM is reaching out to members and stakeholder organizations for feedback.

Your input is important and will be considered by the Task Force before the model is finalized for approval by AAHPM’s Board of Directors and submitted to the PTAC for consideration. 

AAHPM Members:
Before beginning the survey, review a discussion draft of the payment proposals available here:
(To access the bookmark tabs in the PDF, click "download" to open in Adobe Acrobat or save the file.)
Provide feedback on the proposals by completing this survey by April 24.
NOTE: Allow 15-20 minutes to complete the questionnaire. You may complete the survey in more than one session as long as you do not click the “Done” button and you use the same device and web browser as when you started the survey. However, you must complete all questions on a page and click "Next" before you log out.)