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    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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