Medicare Advanced Payment Model (APM) Changes for 2021

Under the Medicare Quality Payment Program (QPP), clinicians can participate in two tracks for payment purposes based on their practice size, specialty, location, or patient population: the Merit-based Incentive Payment System (MIPS) or an Alternative Payment Model (APM).  The criteria for clinicians to qualify as a participant in an APM are changing as of January 1, 2021, so the Centers for Medicare & Medicaid Services (CMS) developed a Quick Start Guide and an Eligibility Decision Tree to help clinicians determine if they qualify for an APM or if they will need to participate in MIPS in 2021. Find more information here.