Archive for Alternative payment models


APM Use Rising

Alternative payment models now account for more than one-third of health care payments, according to a new analysis.

Leading the way is Medicare Advantage plans, which expend nearly half of their Medicare payments through APMs.

Learn more about this trend in health care delivery and payments in the report “APM Measurement:  Progress of Alternative Payment Models,” which was prepared by the Health Care Payment Learning & Action Network and can be found here.


Medicaid APMs Moving in New Directions

For the most part, states’ use of alternative payment models in their Medicaid programs so far have focused on the work done by primary and acute-care providers.  Now, a number of states are starting to extend their use of APMs in other areas, including:

  • behavioral health providers
  • safety-net providers
  • long-term care providers

For a look at what states are doing to drive value in Medicaid payments in these new areas, see the Commonwealth Fund article “The Next Generation of Paying for Value in Medicaid,” which can be found here.…