APM Qualifying Organization

An APM (Alternative Payment Model) Qualifying Organization refers to a healthcare provider or group that meets specific criteria set by the Centers for Medicare & Medicaid Services (CMS) to participate in innovative payment approaches. These organizations focus on providing high-quality care while managing costs effectively. By qualifying, they can earn incentives for improving patient health outcomes and efficiency, rather than just getting paid for the number of services delivered. This system encourages a shift from quantity to quality in healthcare delivery, promoting better patient care and value-based practices.