99% of Physicians Seeking APM Bonuses in 2017 Qualified

Healthcare Financial Management Association (HFMA) reported that 99% of physicians who sought advanced alternative payment model (APM) bonuses in the first year (2017) did qualify.  This is not surprising due to the relatively low thresholds and the fact that those who do apply do so knowing it is attainable for their group.  Forthcoming changes to MACRA include the launch of an all-payer combination option, which allows clinicians to be eligible for the 5 percent APM bonus if they see patients in both Medicare and qualifying payment models offered by Medicaid managed care plans and Medicare Advantage plans.  Moving forward, clinicians should continuously review their eligibility and their strategy to qualify or join models of care that offer such incentives.