To be an Advanced APM, an APM must meet the following three criteria:
Participants are eligible for a yearly 5 percent incentive payment in the Quality Payment Program (QPP) for participating in an Advanced APM.
Advanced APMs include the Oncology Care Model with two-sided risk, the Medicare Shared Savings Program, a designated Health Care Quality Demonstration Program and Federally Mandated Demonstrations. A radiation oncology specific APM does not yet exist; however, ASTRO is actively working with the CMS to make this option available in the near future. Unless the Oncology Care Model is applicable, ASTRO recommends that radiation oncologists participate in the MIPS program in 2019.