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>> J. P. Sharp: Introduction to advanced alternative payment models. I'm J. P. Sharp with CMMI, and I will be leading you through this discussion. So here we start with the definition of an alternative payment model, and this is a very broad definition, and this was set by the FCRA statute. So when we say the word APM, it means this huge universe of payment models that we use, and they're all tied together by the fact that they're new approaches to paying for care under Medicare, and they can change the way that we reward quality and value, and the CMS innovation Center produces a bunch of these new payment models every year. So when we say APM, it means any of these four categories. So that's CMS innovation Center models, other than the healthcare innovation awards. The shared savings program: any of those tracks under the shared savings program, or those last two are any other federal demonstrations required by law. So, collectively, those are the world of APM. So when we say APM, that's that starting place and, then from there, we'll narrow things down for certain types of APMs. So this is the definition of an advanced alternative payment model. So these are where the incentives are in the quality payment program. So you start with that APM definition, and then you have these subsets of those APMs or advanced APMs. And they tend to have greater rewards, both in the design of those types of APMs themselves. They're greater risk, greater reward types of payment arrangements. But then what the quality payment program does is add an additional bonus on top of all those APM-specific rewards that you have, in order for taking on that additional risk for being in an advanced APM. And there at the bottom of the slide it's important to note that what the quality payment program does is add these extra incentives: the 5 percent lump-sum incentive. It does not change the actual terms of the advanced APM itself. So all of those terms and conditions that are inherent to the APM, those remain the same. The quality payment program does not change any of those elements for how the new payment arrangements change the way that Medicare pays for care. Rather, it rewards just adoption of that new payment arrangement. And so this is a more explicit layout of the rewards on the advanced APM track of the quality payment program. So for participating in an advanced APM, we will identify those participating clinicians as qualifying APM participants, or sometimes you'll see QP. And so these QPs receive these specific rewards for being in advanced APMs, in addition, as we said earlier, to what the APM itself offers. So, first, qualifying APM participants are excluded from MIPS, so they won't have to do any of the reporting requirements or receive any of those payment adjustments associated with MIPS. Instead, they'll receive a 5 percent lump-sum bonus, and that...
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