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| The LAN invites your feedback and comments on the data sharing draft white paper, which is now open for public comment through Friday, July 1. Please also join us for a LAN Listening Session on Monday, June 20 from 2 – 3 pm ET. Don’t forget that the comment period for the cardiac care draft white paper also closes on Monday, June 20. Please remember to submit feedback! |
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| Following the Data |
| The draft white paper from the Population-Based Payment (PBP) Work Group, entitled Accelerating and Aligning Population-Based Payment Models: Data Sharing, outlines essential aspects of data sharing in PBP models. Sharing data is critical to supporting clinicians and health care stakeholder groups in providing care, responding effectively to patient needs, and enabling the transition to alternative payment models (APMs).
The paper offers several guiding principles and recommendations that highlight the future development of data sharing arrangements in PBP models. The paper also outlines use cases for data sharing which describe particular types of data sharing arrangements, in both their current and aspirational states. The goal is to create an environment where data follows the patient and is available to stakeholders (patients, providers, purchasers, and payers) in a timely manner. Your input helps us refine these recommendations and better understand any key gaps or unintended consequences at the patient or system level. Note we are also planning to do a Work Group deep dive later this year on data infrastructure and sharing, and invite your comments to help us formulate that work. Please submit your comments online, through a discussion forum on Handshake (here are some instructions), or by email (paymentnetwork@mitre.org). The deadline for comment submission is Friday, July 1. |
 submit comments |
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| Comment Period is Closing Soon for Cardiac Care |
| The public comment period for Accelerating and Aligning Clinical Episode Payment Models: Coronary Artery Disease, is closing on Monday, June 20. We welcome your input and feedback on the draft white paper via Handshake, email at PaymentNetwork@MITRE.org, or the online cardiac care comment form. |
| submit comments |
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| Opportunities & Challenges in Data Sharing for PBP Models |
| Join the LAN on Monday, June 20, from 2 – 3 pm ET for an open forum webinar to discuss recommendations for the data sharing draft white paper. Featuring PBP Work Group Chair Glenn Steele (xG Health Solutions) and Work Group member David Muhlestein (Leavitt Partners, LLC), this webinar will offer a brief overview of the LAN’s recommendations for data sharing in PBP models. |
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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.
