Alternative payment models and urology.

Journal Article (Journal Article;Review)

PURPOSE OF REVIEW: The Medicare Access and CHIP Reauthorization Act (MACRA) is a historic bill that was recently passed that establishes how quality measurement and practice patterns will affect physician reimbursement. Alternative payment models (APMs) are an essential component of MACRA and Medicare's vision of paying for high-value care. This review describes APMs in the context of MACRA and their impact on urology. RECENT FINDINGS: The majority of urologists will be affected by MACRA. Both APMs and bundled payments are considered APMs under MACRA. Although most urologists do not currently participate in Accountable Care Organizations (ACOs) and Bundled Payments, both models are considered APMs under MACRA and are likely going to gain increasing attention in the coming years. SUMMARY: APMs will likely become more relevant to urologists' practices in the future, as both the Centers for Medicare and Medicaid Services and private payers are transitioning away from fee-for-service towards value-based payment.

Full Text

Duke Authors

Cited Authors

  • Kaye, DR; Miller, DC; Ellimoottil, C

Published Date

  • July 2017

Published In

Volume / Issue

  • 27 / 4

Start / End Page

  • 360 - 365

PubMed ID

  • 28441271

Pubmed Central ID

  • PMC5798610

Electronic International Standard Serial Number (EISSN)

  • 1473-6586

Digital Object Identifier (DOI)

  • 10.1097/MOU.0000000000000403


  • eng

Conference Location

  • United States