MIPS Versus APMs: A Comparative Analysis of CMS Quality Payment Programs
The central questions of this research are, of the mandated CMS Quality Payment Programs (QPP), how do MIPS and the available APMs compare in terms of:
- administrative simplicity,
- risk assumption,
- and financial incentive?
Based on this information, is MIPS or one of the Alternative Payment Models (APMs) such as Comprehensive Primary Care Plus (CPC+) or the soon available Primary Care First (PCF) and Directly Contracting (DC) models a preferable option to healthcare providers? The purpose of this study is a quantitative comparative analysis of MIPS as the independent variable and the APMs as the dependent variables based on available program definitions and performance data to determine the most suitable compliance option for rural healthcare providers in terms of administrative simplicity, risk assumption, and financial incentive.
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Section 1 Definitions.
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- identification of the creator(s) of the Licensed Material and any others designated to receive attribution, in any reasonable manner requested by the Licensor (including by pseudonym if designated);
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- a URI or hyperlink to the Licensed Material to the extent reasonably practicable;
- indicate if You modified the Licensed Material and retain an indication of any previous modifications; and
- indicate the Licensed Material is licensed under this Public License, and include the text of, or the URI or hyperlink to, this Public License.
For the avoidance of doubt, You do not have permission under this Public License to Share Adapted Material.
- You may satisfy the conditions in Section 3(a)(1) in any reasonable manner based on the medium, means, and context in which You Share the Licensed Material. For example, it may be reasonable to satisfy the conditions by providing a URI or hyperlink to a resource that includes the required information.
- If requested by the Licensor, You must remove any of the information required by Section 3(a)(1)(A) to the extent reasonably practicable.
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- You must comply with the conditions in Section 3(a) if You Share all or a substantial portion of the contents of the database.
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Section 6 Term and Termination.
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- upon express reinstatement by the Licensor.
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- Sections 1, 5, 6, 7, and 8 survive termination of this Public License.
Section 7 Other Terms and Conditions.
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- To the extent possible, if any provision of this Public License is deemed unenforceable, it shall be automatically reformed to the minimum extent necessary to make it enforceable. If the provision cannot be reformed, it shall be severed from this Public License without affecting the enforceability of the remaining terms and conditions.
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