September 16, 2019 

Seema Verma
Administrator
Centers for Medicare & Medicaid Services
Department of Health & Human Services
7500 Security Boulevard Baltimore, MD 21244-1850

Dear Administrator Verma:

We, the nine undersigned organizations, write to express our strong concern with the long-delayed distribution of the five percent Advanced Alternative Payment Model (Advanced APM) bonus for performance year 2017.  Under the 2015 Medicare Access and CHIP Reauthorization Act (MACRA), this bonus was expected to be distributed in calendar year (CY) 2019.  After nearly two years, the delay in payment of the bonus remains both unexpected and unexplained. 

 

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