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.

• earn at least 30% more revenue per visit on aligned Medicare FFS beneficiaries.
• earn additional revenue by receiving a $3 - $5 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
• participants are excluded from MIPS reporting
• receive direct support, on-site and remote, from ILHITREC Quality Improvement Advisors