Discussion Guide: Making Alternative Payment Models Work-Discussion Guide for Making Alternative Payment Models Work Course

Discussion Guide for Making Alternative Payment Models Work Course

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The document is a discussion guide created by the Home Centered Care Institute for facilitating a group discussion on utilizing alternative payment models (APMs) effectively in house call medical practices. The guide is directed at learners who have already completed an online course titled "Making Alternative Payment Models Work for House Calls."<br /><br />**Purpose:** The discussion aims to help practices navigate APMs to ensure compliance and avoid penalties and reduced compensation.<br /><br />**Audience:** The guide is designed for individuals who completed the online course and is meant to be conducted within 60 minutes.<br /><br />**Materials Needed:**<br />1. Hard copies of the 2019 Comprehensive Primary Care Plus (CPC+) Care Delivery Requirements.<br />2. Hard copies of the "Next Steps" handout from the course’s Resources screen.<br />3. Optional flipchart for capturing comments and ideas.<br /><br />**Learning Objectives:**<br />1. Understand the impact of MACRA (Medicare Access and CHIP Reauthorization Act) and the Quality Payment Program (QPP) on house call practices.<br />2. Identify successful participation requirements for the Merit-Based Incentive Payment System (MIPS), including eligibility, performance categories, and reporting requirements.<br />3. Explain the CPC+ program and its benefits.<br />4. Identify requirements for successful participation in CPC+, including eligible locations, patient eligibility, and application steps.<br /><br />**Agenda Outline:**<br />1. **Introduction (5 minutes):**<br />   - Discuss how MACRA affects home-based care providers.<br />   - Recall and evaluate current and potential payment options discussed in the course.<br />   <br />2. **MIPS:**<br />   - Discuss practice eligibility for MIPS and strategies for confirming this.<br />   - Consider developing performance measures and reporting strategies to demonstrate value.<br />   - Implementation ideas might include setting roles, striving for improvement, team involvement, and utilizing an Electronic Medical Record (EMR) system.<br /><br />3. **CPC:**<br />   - Review and discuss the CPC Care Delivery Requirements.<br />   - Determine if the practice can participate in CPC+ based on state availability.<br />   - Identify activities to engage in CPC+ participation.<br /><br />4. **Debrief (5 minutes):**<br />   - Review the "Next Steps" handout.<br />   - Discuss and commit to actionable steps for implementation.<br /><br />**Discussion Prompts:** Address questions related to MACRA’s effects, MIPS eligibility and performance, CPC+ requirements, and steps for future actions. Participants might be divided into pairs or groups for focused discussions before a collective debrief. <br /><br />This structured approach is designed to ensure participants leave with a clear understanding of APMs and actionable steps for optimizing house call practices.

Keywords

Alternative Payment Models

House Call Medical Practices

MACRA

Quality Payment Program

MIPS

CPC+ Program

Home Centered Care Institute

Medical Compliance

Payment Strategies

Healthcare Learning Objectives