Self Richard, Coffin Janis
J Med Pract Manage. 2016 Sep;32(1):6-8.
Alternative payment models (APMs) represent an unprecedented opportunity. for providers to have direct input into the terms of their own reimbursements for services provided. Understanding the rough boundaries of what comprises an APM is critical for those wishing to pursue possible involvement in APM devel- opment. This article attempts to provide structure to the plethora of CMS and other sources describing the principles guiding APM creation. Most importantly, as it is becoming increasingly apparent that APMs are a preferred method for. CMS to pay providers, organizations capable of leveraging stakeholder input and identifying methods to help meet the CMS Triple Aim via novel APMs will undoubtedly find themselves in much more powerful bargaining positions than those who simply adopt cookie-cutter approaches or, worse, fail to meet CMS goals and receive negative reimbursement adjustments through the Merit-based Incentive Payment System (MIPS) in 2019.
替代支付模式（APMs）代表了一个前所未有的机遇。对于医疗服务提供者而言，他们能够直接参与制定自身所提供服务的报销条款。对于那些希望参与APM开发的人来说，了解构成APM的大致范围至关重要。本文旨在梳理众多来自医疗保险和医疗补助服务中心（CMS）及其他渠道的信息，这些信息描述了指导APM创建的原则。最重要的是，越来越明显的是，APMs是CMS支付医疗服务提供者的首选方式。那些能够利用利益相关者的意见并确定通过新颖的APMs来帮助实现CMS三重目标的方法的组织，无疑会发现自己比那些仅仅采用千篇一律方法的组织，或者更糟糕的是未能实现CMS目标并在2019年通过基于绩效的激励支付系统（MIPS）获得负面报销调整的组织，处于更有利的谈判地位。
