5. What is the scale of the APM?
Practices should understand the size and scope of the APM in terms of the services it provides to participants as well as how many other partners are in the model. “Evaluate how your practice would participate with an APM, such as those that may target end-stage renal disease and dialysis treatments or those whose core is in metropolitan and urban areas. The difference on a practice could be success or failure if you are not set up to work with the right environment or not in line with the costs that may be incurred due to the APM’s requirements,” Sweet says.
6. Is there payer support?
Sweet advises practices to investigate whether there are enough payers — outside of Medicare — participating in the model or aligned with it to create a strong, supportive relationship for practices. She notes that the answer will depend on specialty or location, for example, but practices should consider payer support when gauging the potential for success.