APM Adoption Rates on The Rise

APM Adoption Rates on The Rise

According to a report from the Health Care Payment Learning & Action Network (LAN), 25% of healthcare dollars across Medicaid, Medicare Advantage, and commercial health plans were tied to alternative payment models (APMs) in 2016, up from 23 percent in 2015.

Similarly, HHS announced in March 2016 the achievement of one of their two goals to tie 30% of traditional Medicare fee-for-service to APMs. The next goal is to reach 50% by 2018.

An increasing number of providers are joining the shift from pay-for-volume to pay-for-value. The recent passage of MACRA will accelerate the pace of the transition, adding more APMs and other bundled payment options. To succeed in value-based care, providers need digital analytics and workflow optimization solutions. This is especially true for episodes of care, one critical component of value-based care highlighted in CMS’s BPCI and CJR programs.

Clarify offers unique solutions to put you in a better position in the world of episodes. Contact us for more information.