TY - JOUR
T1 - Developing an Advanced Alternative Payment Model for Stress Urinary Incontinence
AU - Developed by the AUGS Payment Reform Committee
AU - Lowder, Jerry L.
AU - Barker, Matthew A.
AU - Ferzandi, Tanaz
AU - Gardiner, Haley
AU - Hall, Evelyn F.
AU - Nihira, Mikio
AU - Holzberg, Adam
AU - Hurtado, Eric
AU - Patton, Simon
AU - Rathbun, Jill
AU - Shepherd, Jonathan P.
AU - Biller, Daniel
N1 - Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.
PY - 2021/4/1
Y1 - 2021/4/1
N2 - Historically, our health care system has been based on a fee-for-service model, which has resulted in high-cost and fragmented care. The Center for Medicare & Medicaid Services is moving toward a paradigm in which health care providers are incentivized to provide cost-effective, coordinated, value-based care in an effort to control costs and ensure high-quality care for all patients. In 2015, the Medicare Access and Children's Health Insurance Program Reauthorization Act repealed the Sustainable Growth Rate and the fee-for-service model, replacing them with a 2-track system: Merit-based Incentive Payment System and the advanced Alternative Payment Model (aAPM) system. In 2016, the American Urogynecologic Society Payment Reform Committee was created and tasked with developing aAPMs for pelvic floor disorders. The purpose of this article is to describe the stress urinary incontinence aAPM framework, the data selected and associated data plan, and some of the challenges considered and encountered during the aAPM development.
AB - Historically, our health care system has been based on a fee-for-service model, which has resulted in high-cost and fragmented care. The Center for Medicare & Medicaid Services is moving toward a paradigm in which health care providers are incentivized to provide cost-effective, coordinated, value-based care in an effort to control costs and ensure high-quality care for all patients. In 2015, the Medicare Access and Children's Health Insurance Program Reauthorization Act repealed the Sustainable Growth Rate and the fee-for-service model, replacing them with a 2-track system: Merit-based Incentive Payment System and the advanced Alternative Payment Model (aAPM) system. In 2016, the American Urogynecologic Society Payment Reform Committee was created and tasked with developing aAPMs for pelvic floor disorders. The purpose of this article is to describe the stress urinary incontinence aAPM framework, the data selected and associated data plan, and some of the challenges considered and encountered during the aAPM development.
KW - Merit-based Incentive Programs (MIPS)
KW - advanced Alternative Payment Model (aAPM)
KW - alternative payment models
KW - care pathways
KW - episode of care
KW - payment reform
KW - quality measures
KW - stress urinary incontinence
UR - http://www.scopus.com/inward/record.url?scp=85103607904&partnerID=8YFLogxK
U2 - 10.1097/SPV.0000000000000997
DO - 10.1097/SPV.0000000000000997
M3 - Article
C2 - 33315626
AN - SCOPUS:85103607904
SN - 2151-8378
VL - 27
SP - 217
EP - 222
JO - Female Pelvic Medicine and Reconstructive Surgery
JF - Female Pelvic Medicine and Reconstructive Surgery
IS - 4
ER -