Alternative Payment Models (APMs) are payment approaches developed by the Centers for Medicare & Medicaid Services (CMS) and other payers that provide added incentives to clinicians to deliver high-quality and cost-efficient care. APMs can apply to a specific clinical condition, a care episode, or a population.
Option A: Patient-Centered Medical Home (PCMH)
PCMH is a care delivery model where patient treatment is coordinated through their primary care physician to ensure they receive the necessary care when and where they need it. While it focuses on care coordination and communication, it is not primarily a payment model.
Option B: Shared Savings Program
The Shared Savings Program is an APM that encourages providers to reduce healthcare costs for a defined patient population by offering them a percentage of any net savings realized as a result of their efforts. This model aligns financial incentives with the goal of improving patient outcomes and reducing unnecessary spending.
Option C: Hospital at Home Program
This program provides hospital-level care to patients in their homes. While it represents an innovative care delivery model, it is not primarily structured as a payment model.
Option D: Collaborative Care Model
This model integrates mental health services into primary care settings. It focuses on care delivery and is not primarily a payment model.
Therefore, among the options provided, the Shared Savings Program (Option B) is the example of an Alternative Payment Model (APM).
[References:, Centers for Medicare & Medicaid Services (CMS) – "Alternative Payment Models", , , , , , ]
