- March 4, 2016
- Posted by: Health Care Payment Learning & Action Network
- Categories: LAN Update, Webinars, Work Product Releases
We invite you to submit comments on two draft white papers from the Population-Based Payment (PBP) Work Group no later than next Monday, March 7. Please also register for three new webinars and submit your comments on a draft white paper from the Clinical Episode Payment (CEP) Work Group. Your input is vitally important for improving the white papers. Details about how to submit comments and how to register for the upcoming webinars are listed below.
Comment Period Closes for Patient Attribution and Financial Benchmarking
Monday, March 7
The public comment period for two draft white papers released by the PBP Work Group closes on Monday, March 7. This is a friendly reminder to please submit your input on the patient attribution and financial benchmarking white papers, as well as any of the diagrams, flowcharts, and tables used to illustrate key concepts. To provide feedback please use Handshake, the online patient attribution or financial benchmarking comment forms, or email at PaymentNetwork@MITRE.org.
LAN Learnings Webinar: Alternative Payment Models for Behavioral Health
Monday, March 14 @ 12:00 – 1:15 PM EST
Register here for a virtual presentation on Monday, March 14 from 12:00 – 1:15 pm EST. This webinar will highlight the current landscape, lessons learned, and best practices in the effective integration of alternative payment models (APMs) and behavioral health services. Panelists from LAN Committed Partners include Deb Adler of Optum describing the Achievements in Clinical Excellence program that rewards providers for collaboration, better patient outcomes, and improved cost efficiencies, as well as Henry Chung of Montefiore describing this health system’s progress in moving to value-based payment.
Comment Period for Elective Joint Replacement is Now Open
The public comment period for the draft white paper on episode payment for elective joint replacement opened on Friday, February 26. The paper provides recommendations for how to design patient-centered episode payment for elective hip and knee replacement. The CEP Work Group invites your feedback and input through Monday, March 28 via an online discussion forum on Handshake, comments submitted directly on the LAN website, and by email at PaymentNetwork@MITRE.org
LAN Listening Session for States: Preliminary Recommendations on Elective Joint Replacement
Thursday, March 17 @ 12:00 – 1:15 PM EST (registration opening soon)
Please join us on Thursday, March 17 from 12:00 – 1:15 pm EST for a special listening session for states, which highlights the CEP Work Group’s recent draft white paper on elective joint replacement. Speakers include John Bertko (Covered California), Steve Spaulding (Arkansas Blue Cross Blue Shield), and Brooks Daverman (State of Tennessee). Save the date and stay tuned for registration details.
LAN Listening Session for Providers: Preliminary Recommendations on Elective Joint Replacement
Tuesday, March 22 @ 12:00 – 1:15 PM EST
Register here for a special listening session for providers on Tuesday, March 22 from 12:00 – 1:15 pm EST to discuss the draft white paper on elective joint replacement and solicit your questions and feedback. Panelists include Kevin Bozic (University of Texas at Austin), Mark Froimson (Trinity Health), and Richard Shonk (The Health Collaborative).
We look forward to your participation and input.
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.
