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Leavitt Partners Releases “Medicare Alternative Payment Models: Not Every Provider Has a Path Forward” White Paper

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September 11th, 2017

Salt Lake City, September 11, 2017 –  Alternative Payment Models (APMs) have gained bipartisan support as a medium to produce the health care delivery transformations necessary to decrease health care costs and increase the quality of care. Today, Leavitt Partners released a new white paper, “Medicare Alternative Payment Models: Not Every Provider Has a Path Forward,” examining the availability of Medicare APMs to various provider types.

The authors categorized 45 Medicare payment models using the “Alternative Payment Model Framework” published by the Health Care Payment Learning & Action Network. Results demonstrate that there are many providers who do not currently have a Medicare APM in which to participate. Key findings include:

  1. Emergency physicians and audiologists do not currently qualify to participate in any Medicare APMs;
  2. Other providers have limited access to APMs; and
  3. There are still several Medicare payment models that are tied to the fee-for-service system.

As the need to decrease health care costs escalates, the importance of transitioning to APMs will increase. A systematic approach to payment model creation and testing can be developed by collaborating with providers who currently do not have access to a Medicare APM.

The white paper can be viewed here.

About Leavitt Partners:

Leavitt Partners is a health care intelligence business. The firm helps clients successfully navigate the evolving role of value in health care by informing, advising, and convening industry leaders on value market analytics, alternative payment models, federal strategies, insurance market insights, and alliances. Through its family of businesses, the firm provides investment support, data and analytics, member-based alliances, and direct services to clients to support decision-making strategies in the value economy. For more information please visit www.LeavittPartners.com.

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