The Benefits of Belonging: Reimbursement
SVS Creating Alternative Payment Model
Under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), physicians have two options regarding their future Medicare payments: the Merit-based Incentive Payment System (MIPS) or Alternative Payment Models (APMs).
The SVS Executive Committee has opted to begin work on creating an APM.
The two programs become effective in 2019. While the MIPS program uses infrastructure that already is exists, APMs will need to be created by medical societies and health care organization. Presently there are no APMs for vascular surgery.
The SVS Policy and Advocacy Council will oversee the creation of APMs, with representatives from the Government Relations Committee, Coding and Reimbursement Committee, Quality and Performance Measures Committee, Clinical Practice Committee and SVS Patient Safety Organization participating in the process.
Fifteen to 20 representatives of the different groups will meet this fall in Washington, D.C. Participants will work on creating an APM, including prioritizing which of the four clinical areas will be developed first. Choices include carotid endarterectomy, endovascular aneurysm repair, arteriovenous fistulas or endovascular leg revascularization.
The APM is expected to be completed within 12 to 18 months.