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• Former Obama CMS Official Worries APMs Losing Momentum
  A former Obama administration CMS official said Monday (Nov. 13) she worries that the move away fee-from-service reimbursement and toward alternative pay models is losing momentum. That fear is based on the sum of the agency's policy decisions and proposals, not any single decision, according to Mai Pham, who helped write alternative pay models regulations during the Obama administration and is now at Anthem.
  
  
• PTAC Wants To Provide Technical Assistance, Increase Access To Data
  The Physician-Focused Payment Technical Advisory Committee chair and vice chair asked lawmakers on Wednesday (Nov. 8) to consider letting PTAC help doctors with technical aspects of alternative pay models, giving doctors in APMs more claims data and allow for limited small-scale testing of new models. The PTAC leaders also said providers need greater clarity about what happens after PTAC recommends APMs to CMS, and they said doctors are more likely to develop APMs if they understand those CMS reviews.
  
  
• CMS To Count Participation In MA Toward APM Calculations
  In another break from Obama-era policy, CMS plans to count participation in Medicare Advantage arrangements toward pay calculations in Alternative Payment Model Incentive Payments program, according to the Quality Payment Program rule.
  
  
• OMB Reviews Rule To Shrink CCJR, Cancel Other Mandatory Demos
  The White House Office of Management and Budget on Thursday (Nov. 2) began reviewing a final rule that would shrink the mandatory Comprehensive Care for Joint Replacement demonstration and cancel the Episode Payment Models and Cardiac Rehabilitation incentive models.