LUGPA to Submit Urology-Specific Advanced Payment Model

First of Its Kind Urology-Specific APM Will Benefit Patients and Improve Outcomes

SCHAUMBURG, Ill., Apr. 21, 2017 – On April 14, LUGPA submitted a Letter of Intent (LOI) outlining the Association’s proposal for a urologic-specific Alternative Payment Model (APM). LUGPA’s APM is the first proposed payment model that is specific to urology and highlights LUGPA’s commitment to the healthcare goals outlined in the triple aim. The LOI was accepted by the Physician–Focused Payment Model Technical Advisory Committee (PTAC), which advises the Secretary of Health and Human Services (HHS) on proposals for physician-focused payment models. LUGPA anticipates that the proposed APM will be submitted to PTAC shortly.

The LUGPA APM will promote patient/physician shared decision making through the utilization of quality metrics as well as by compensating physicians for the management time required to establish an effective active surveillance protocol. LUGPA believes that this model will optimize outcomes, increase patient satisfaction and reduce utilization of unnecessary services, while simultaneously decreasing healthcare costs.

Recognizing the diverse nature of healthcare delivery for prostate cancer throughout the United States, LUGPA has developed this APM to be accessible to both independently practicing as well as hospital-based urologists, enabling broad national participation in this APM model. This decision exemplifies LUGPA’s leadership in the urology community and its commitment to optimizing the value and quality of care for early stage prostate cancer patients. If the LUGPA-developed APM is approved, provider organizations could be prepared to implement this payment model during the 2018 calendar year. LUGPA will remain diligent in developing solutions that improve the quality of care for patients while allowing providers to actively participate in the payment methodologies implemented by MACRA.

LUGPA is a trade Association that represents independent urology group practices in the U.S., with more than 2,200 physicians who make up more than 25 percent of the nation’s practicing urologists, and provide more than 30 percent of the total urologic care in the U.S. The Association is committed to providing the best resources and information for its member practices through advocacy, research, data collection and benchmarking efforts. LUGPA advocates for independent urology practices by promoting quality clinical outcomes, fostering new opportunities and improving advocacy in the legislative and regulatory arenas. For more information, visit