MACRA payment options - MIPS and APMs

In the beginning there is going to be two different options for providers to choose. CMS has allowed for somewhat of a soft transition into the payment models that are coming. The Merit-based Incentive Payment System (MIPS) and the Alternative Payment Models (APMs) are the two options that physicians and providers can choose. Everybody needs to understand those two options at a detailed level to make sure that your practice matches with the right option.

The Merit-based Incentive Program is a little less sophisticated. It does involve an upside and downside risk, whereas the Alternative Payment Model is a little more sophisticated, a little more risk involved, but there’s also more opportunity for steady revenue streams for those providers that are more sophistical and can participated in the APM model.

Those are the two options that are going to be available to physicians and it’s critically important at this stage of the game for every practice in the country to be assessing: Am I a MIPS practice?, Am I an APM practice?, What does that mean to my practice? and How am I going to identify the changes I need to make in order to move forward?

For more information on this topic, or to learn how Baker Tilly healthcare specialists can help, contact our team.