Urogyn Practice Management Course 2017-Alphabet MACRAroni (2)

Video Transcription

Right. So it exists as some kind of some program you're involved in where you're taking some risk.  If you're an advanced APM, you have to be qualified by Medicare. It's different qualifications.  Right. And we'll talk about it a little more this afternoon with Jerry and John, and I'll talk about it a little more here in a minute.  But basically, advanced APMs have two-sided risk, which means you have double skin in the game, so to speak, and MIPS APMs can qualify with only one-sided risk, so only upside risk.  But in both instances, the models have to be approved by the Medicare program, and so there is an approved list for both.  Right. And actually, if you look at Medicare's slides, they actually have a nice diagram that shows which ones qualify.  The scary kind of thing is, so we have an ACO. They actually didn't know which one they fell in under.  So you're, again, well, actually it's in another talk, but you need to make sure that the people that are submitting stuff for you  know what they're doing, because it's still you that's submitting.

Video Summary

The video discusses a program related to advanced Alternative Payment Models (APMs) and Medicare. Advanced APMs require qualification by Medicare and involve two-sided risk, meaning there is both upside and downside risk. On the other hand, MIPS APMs require qualification with only one-sided risk, which is only upside risk. Both models need approval from Medicare, and there is an approved list for both. The video also mentions the importance of ensuring that the people submitting information on behalf of an ACO understand the program to avoid any confusion. Unfortunately, it is unclear who the speakers in the video are.

Meta Tag

Category practice management

Session 189667b

Keywords

Advanced Alternative Payment Models

Medicare

Two-sided risk

MIPS APMs

Medicare approval