- February 5, 2016
- Posted by: Health Care Payment Learning & Action Network
- Category: LAN Update
We invite you to participate in several upcoming events. This month LAN Work Groups are releasing three draft white papers:
The release of these draft papers, from our Population-Based Payment and Clinical Episode Payment work groups, is accompanied by webinar presentations by Work Group members, the opening of comment periods for soliciting your input electronically, and listening sessions geared to hear the perspectives of specific stakeholder groups including purchasers, payers, providers, states, patients, and consumers on the papers’ subject matter.
In addition to events related to these papers, we invite your participation in a webinar on value-based payment for managing patients living with chronic illness.
Please mark your calendars:
- Monday, February 8 – Comment Period Opens: Draft White Papers on Accelerating and Aligning Population-Based Payment Models: Patient Attribution; and Accelerating and Aligning Population-Based Payment Models: Financial Benchmarking. The Population-Based Payment (PBP) Work Group invites you to comment on the draft white papers beginning next week through Monday, March 7. Comments will be accepted on the LAN website and on Handshake.
- Tuesday, February 9 – LAN Update Webinar: Accelerating and Aligning Population-Based Payment Models: Preliminary Recommendations on Patient Attribution and Financial Benchmarking. Register here for this virtual presentation on Tuesday, February 9 from 12:00-1:30 pm ET. PBP Work Group Co-chair Dana Safran, and work group members Michael Chernew and Amy Nguyen Howell will walk through the Work Group’s recommendations and invite your questions and feedback.
- Wednesday, February 17 – Comment Period Opens: Draft White Paper on Accelerating and Aligning Clinical Episode Payment Models: Elective Joint Replacement. The Clinical Episode Payment (CEP) Work Group invites you to comment on this draft white paper beginning Wednesday, February 17 through Friday, March 18. Comments will be accepted on the LAN website and on Handshake.
- Tuesday, February 23 – LAN Update Webinar: Accelerating and Aligning Clinical Episode Payment Models: Preliminary Recommendations on Elective Joint Replacement. Register here for this virtual presentation Tuesday, February 23 from 12-1:15pm EST. The CEP Work Group Chair Lew Sandy will walk through the draft paper and solicit your questions and feedback. Work Group member Steven Spaulding will discuss the Arkansas Healthcare Payment Improvement Initiative, which uses episode payment to drive innovation in care delivery for a number of different procedures and conditions, including joint replacement.
- Wednesday, February 24 – LAN Learnings Webinar: Value-Based Payment for Patients Living with Chronic Illness. In collaboration with the Health Care Transformation Task Force, this webinar features panelists from Aetna, Providence Health & Services, and the Pacific Business Group on Health (PBGH) who will share promising payment models serving this population. Register here.
We look forward to your involvement in this busy month.
Purchasers
Enabling Organizations | 
Policy Makers
Community Organizations
Emily DuHamel Brower, M.B.A., is senior vice president of clinical integration and physician services for Trinity Health. Emphasizing clinical integration and payment model transformation, Ms. Brower provides strategic direction related to the evolving accountable healthcare environment with strong results. Her team is currently accountable for $10.4B of medical expense for 1.6M lives in Medicare Accountable Care Organizations (ACOs), Medicare Advantage, and Medicaid and Commercial Alternative Payment Models.
Mr. James Sinkoff is the Deputy Executive Officer and Chief Financial Officer for Sun River Health (formerly known as Hudson River HealthCare), and the Chief Executive Officer of Solutions 4 Community Health (S4CH); an MSO serving FQHCs and private physician practices.
Victor is the Chief Medical Officer for TennCare, Tennessee’s Medicaid Agency. At TennCare, Victor leads the medical office to ensure quality and effective delivery of medical, pharmacy, and dental services to its members. He also leads TennCare’s opioid epidemic strategy, social determinants of health, and practice transformation initiatives across the agency. Prior to joining TennCare, Victor worked at Evolent Health supporting value-based population health care delivery. In 2013, Victor served as a White House Fellow to the Secretary of Health and Human Services. Victor completed his Internal Medicine Residency at Emory University still practices clinically as an internist in the Veteran’s Affairs Health System.
Dr. Brandon G. Wilson, DrPH, MHA (he, him, his) joined Community Catalyst as the Director of the Center for Consumer Engagement in Health Innovation, where he leads the Center in bringing the community’s experience to the forefront of health systems transformation and health reform efforts, in order to deliver better care, better value and better health for every community, particularly vulnerable and historically underserved populations. The Center works directly with community advocates around the country to increase the skills and power they have to establish an effective voice at all levels of the health care system. The Center collaborates with innovative health plans, hospitals and providers to incorporate communities and their lived experience into the design of systems of care. The Center also works with state and federal policymakers to spur change that makes the health system more responsive to communities. And it provides consulting services to health plans, provider groups and other health care organizations to help them create meaningful structures for engagement with their communities.
Tamara Ward is the SVP of Insurance Business Operations at Oscar Health, where she leads the National Network Contracting Strategy and Market Expansion & Readiness. Prior to Oscar she served as VP of Managed Care & Network Operations at TriHealth in Southwest Ohio. With over 15 years of progressive health care experience, she has been instrumental driving collaborative payer provider strategies, improving insurance operations, and building high value networks through her various roles with UHC and other large provider health systems. Her breadth and depth of experience and interest-based approach has allowed her to have success solving some of the most complex issues our industry faces today. Tam is passionate about driving change for marginalized communities, developing Oscar’s Culturally Competent Care Program- reducing healthcare disparities and improving access for the underserved population. Tamara holds a B.A. from the University of Cincinnati’s and M.B.A from Miami University.
Dr. Peter Walsh joined the Colorado Department of Health Care Policy and Financing as the Chief Medical Officer on December 1, 2020. Prior to joining HCPF, Dr. Walsh served as a Hospital Field Representative/Surveyor at the Joint Commission, headquartered in Oakbrook Terrace, Illinois.
