The CMS Alliance to Modernize Healthcare (CAMH) is now soliciting candidates for a new work group focused on primary care. This group of experts who will collaboratively develop recommendations on the critical components for primary care payment in category 3 or 4 alternative payment models (APMs) and make practical recommendations for accelerating adoption of these models, including steps to support implementation. The initial work group deliverable will be a white paper that includes actionable recommendations within a 12-24 month time frame. One of the initial tasks will be to refine the work group’s charge, ensure a manageable scope, and develop a plan that focuses on recommendations that can be road tested in the near term. This work group will not set or make policy, nor make formal recommendations to the Centers for Medicare & Medicaid Services (CMS).

The LAN is designed to enable participants to work together to achieve alignment across sectors and stakeholder groups. We are interested in candidates who fill one or several of the criteria below:

  • Physicians, nurses, and other health care professionals currently practicing in internal medicine, family practice, pediatrics, or geriatrics
  • Medical professionals with specialties, expertise, or experience integrating with primary care
  • Expertise in the newer models of care and current/planned innovations in the field, including telemedicine and retail clinics
  • Experience working with multiple stakeholders of different perspectives on complex health system issues
  • Experience in methodological approaches, including benchmarking, risk adjustment, quality measures, etc
  • Experience with designing, implementing, or evaluating different types of primary care payment models
  • Experience in bringing any of the following perspectives to the discussion of payment models and reform:
    • Small/rural physician practices
    • Patients or consumers
    • Purchasers, including state purchasers and private employers
    • Behavioral health integration professionals
    • Minority or safety net organizations
    • Medicaid
    • Health plans, including those focused on multi-payer alignment

This work group will consist of approximately 15 core members and is expected to work at a swift pace. Members will be expected to participate, at a minimum, in bi-weekly conference calls and one full-day meeting in the Washington, D.C. area. There is no reimbursement available for travel expenses.

If you believe you have the time and qualifications and would like to be considered to serve as a core member of this work group, or if you would like to refer a colleague, we welcome you to submit a nomination. Due to limited resources, we are not able to send individual notes to those not selected. We welcome your nominations or referrals through Monday, May 2.

To achieve the goal of better care, smarter spending, and healthier people, the U.S. health care system must substantially reform its payment structure to incentivize quality, health outcomes, and value over volume. The Health Care Payment Learning and Action Network (LAN) was established as a collaborative network of public and private stakeholders, including health plans, providers, patients, employers, consumers, states, federal agencies, and other partners within the health care community.

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