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Alternative Payment Models

Alternative Payment Models provides insights on key innovative payment and care delivery models, along with biopharmaceutical company opportunities to engage in partnerships with participating organizations.

  • Which innovative payment models have the broadest adoption across payers and providers?

  • What are the most common risk arrangements for innovative payment models, and what services do these arrangements include?

  • Which CMS Innovation Center demonstrations are likely to have the greatest impact on payer and IDN business strategies and drug access decisions?

Use Alternative Payment Models to:

  • Anticipate the impact of APMs on payer and IDN strategies and access decisions
  • Evaluate the impact of emerging innovative models on biopharmaceutical company relationships with payers and providers
  • Assess the impact of CMS Innovation Center models on payer and IDN behavior
  • Evolution of Alternative Payment Models
    • Health plan and provider adoption of alternative payment models (APMs)
    • Assessment of risk and success in innovative payment models
    • Biopharmaceutical company opportunities to partner with customers that participate in APMs
  • Impact of CMS Innovation
    • Identification of key CMS innovation models
    • Uptake of CMS Innovation Center demonstrations among payers and integrated delivery networks (IDNs)
    • Influence of demonstrations on the marketplace

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