What is the primary goal of alternative payment models (APMs) in the context of CMS?

The primary goal of alternative payment models (APMs) in the context of the Centers for Medicare & Medicaid Services (CMS) is to provide higher quality care at reduced costs. APMs incentivize healthcare providers to focus on value rather than volume, meaning that they are rewarded for the quality of care and patient outcomes they deliver. This shift is intended to improve patient health, prevent unnecessary procedures, and manage resources more effectively, thus reducing overall healthcare costs.

While there may be aspects of APMs that touch on reducing readmission rates or improving administrative processes, the overarching aim is to enhance the quality of care provided to patients while simultaneously controlling expenditures. This model emphasizes collaborative care, patient engagement, and efficiency, aligning financially interested stakeholders to promote broader health system improvements. This commitment to quality and cost-effectiveness is fundamental to the objectives of APMs within the CMS framework.