ILHITREC is rolling out an Advanced Alternative Payment Model (AAPM) for primary care providers, PAs, and NPs in Illinois. The CMS Primary Care AAPM is a Direct Contracting advanced alternative payment opportunity that focuses on reinvesting dollars back into primary care. This program leverages the Clover Assistant Tool, a web-based application powered by clinical and claims data on Medicare beneficiaries. Clover Assistant dynamically surfaces up-to-date, patient-specific information, including care gaps, medications, and potential diagnoses, providing you with a comprehensive view, populated with data from anywhere aligned beneficiaries have received care. Minimally, participants need only confirm diagnosis on 90% of Medicare FFS beneficiaries.

Participation in the CMS Primary Care AAPM provides primary care clinicians with many benefits:

• earn at least 30% more revenue per visit on aligned Medicare FFS beneficiaries.
• earn additional revenue by receiving a per member, per month (PMPM) fee
• additional revenue is paid with claims rather than 1 ½ years later like many shared savings programs
• select from No Risk options
• receive 5% AAPM MIPS bonus
• Current participants are excluded from MIPS
• receive direct support, on-site and remote, from ILHITREC Quality Improvement Advisors

If you are interested in participating, complete the  Letter of Participation and include a list of your primary care physicians, physician assistants, and nurse practitioners with NPIs, and email to Info@iLHITREC.org.

Participation in the CMS Primary Care AAPM is limited and enrollment ends June 30, 2021 for the 2022 period. For more information email  Info@ILHITREC.org or visit our website,  IL-HITREC - Illinois Health Information Technology Regional Extension Center.

This is an exciting opportunity to improve the quality of care for Medicare FFS beneficiaries and provide primary care with additional revenue. We look forward to hearing from you!