Guide to Alternative Payment Models Released


CAPG announced the release of a special publication, CAPG’s Guide to Alternative Payment Models (APMs). The book provides a firsthand view of CAPG members’ experiences with APMs ranging from bundled payments to capitated, coordinated care.

“Our nation has officially embarked on a journey from volume to value,” said Donald Crane, president and CEO, CAPG. “These case studies are intended to facilitate the transition by showing how physician groups are succeeding in value-based payment models.”

The case studies illustrate the payment foundation for risk-based coordinated care in Medicare, Medicaid, and commercial health plan relationships with physician organizations. Each vignette explains the payment model at the group or organization level and the individual physician level, along with successes and areas for improvement for the model.

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) ties incentives to participation in alternative payment models. “The CAPG Guide shows the promise of APMs in terms of improving patient care and encouraging innovation in healthcare delivery,” said Mara McDermott, vice president of federal affairs for CAPG.

CAPG is an association for and the voice of physician organizations practicing capitated, coordinated care. The organization comprises more than 250 multispecialty medical groups and independent practice associations (IPAs) in 40 states, the District of Columbia, and Puerto Rico. CAPG members provide comprehensive healthcare through patient-centered, coordinated, and accountable physician group practices.


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