August 24, 2016 – eNewsletter – Health Care Payment Learning & Action Network

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NEWSLETTER | AUG. 24, 2016

{IN THIS ISSUE} New Fact Sheets Released, Don’t Miss Today’s Twitter Chat, Spotlight on Primary Care

#PCPMChat Today

Please join the co-chairs of the Primary Care Payment Model Work Group in a Twitter chat to share your insights, offer ideas, and ask questions on the topic of primary care alternative payment models. We’re interested to hear from you on key actions doctors, nurses, and other clinicians can take to help payment reform be successful; how payment models can integrate other specialties; APM best practices and implementation tools; and more. Join the conversation at #PCPMChat this afternoon for an exchange on successes and barriers in implementing primary care payment models.

Date & Time: Today (Wednesday, August 24) from 2 – 2:30 pm EST

Co-hosts: Bill Golden and Susan Edgman-Levitan, co-Chairs of the LAN’s Primary Care Payment Model (PCPM) Work Group (@Payment_Network)

Hashtag: #PCPMChat

join the conversation

New PBP Fact Sheets Available

In case you missed it, the LAN recently released a series of white papers outlining recommendations for population-based payment (PBP) models. Accompanying the papers are a host of fact sheets, infographics, FAQs, and other resources that may be helpful to stakeholders implementing alternative payment models (APMs). Check out the new fact sheets highlighting key elements from each of the PBP papers:

Spotlight Interview

Paul Casale
NewYork Quality Care

Clinicians Collaborating to Advance Value-Based Payment

“We want patients to be able to call with questions and see their doctor in a timely way.”

In our newest spotlight interview, we spoke with Paul N. Casale, MD, MPH, FACC, from American College of Cardiology and NewYork Quality Care, about the role providers play in transitioning to alternative payment models (APMs). The discussion focuses on specific challenges and opportunities that providers face, highlights NewYork Quality Care’s unique perspective on implementing APMs, and offers guidance to other providers interested in executing APMs themselves.

Upcoming Events

Success Stories: Building a Robust Data Infrastructure that Supports APMs

October 5, 2016 @ 2:00 – 3:15 pm EST

This LAN Learnings webinar will highlight two organizations that have used different data sharing infrastructure approaches in their market areas and have provided benefits to multiple stakeholders, including payers, providers, and purchasers. Panelists David Kendrick of MyHealth Access Network of Tulsa, OK and Mylia Christensen of Oregon Health Care Quality Corporation will address partnerships established, barriers overcome, sources of funding, lessons learned, and examples of data available to the various stakeholders. Join us to learn about these promising practices in data sharing!

LAN Progress

Continued Progress from Action Collaboratives to Drive Implementation of APMs

The LAN continues to focus on translating into action the recommendations developed by the PBP and CEP Work Groups. The first two LAN Action Collaboratives (ACs) are the Maternity Multi-Stakeholder Action Collaborative (MAC) and the Primary Care Payer Action Collaborative (PAC).

The MAC is a learning collaborative composed of stakeholders that have committed to implementing maternity care episode payments. While MAC participants will not be required to match their episode payment efforts to the LAN’s Clinical Episode Payment Recommendations on Maternity Care, these recommendations will guide the work of the MAC. These recommendations are directional and allow for variation in details as appropriate in specific markets, while still remaining aligned to offer providers continuity in design. Through collaborative conversations, small group consultations with subject matter experts, and webinar presentations, MAC participants will learn about and share ideas for promoting promising practices that drive the development and implementation of maternity care episode payments. Out of these changes, the LAN will develop a series of implementation toolkits to help enable other interested stakeholders with implementing maternity episodes. The long-term vision of the MAC is to elevate participating organizations as leaders in the movement toward aligned adoption of maternity episode payment models.

The PAC supports payer partners who have committed to implement APM Category 3 and/or 4 payments with a goal of driving significant changes in primary care delivery. While the PAC invites representatives from any payer organization participating in multi-payer primary care APM efforts to join, initial efforts of the PAC will focus on regional payers in the Comprehensive Primary Care Plus (CPC+) model. Through a series of structured conversations, payers will learn about strategy, solutions, and promising practices from fellow payers, as well as from stakeholders outside of the PAC. This engagement will allow participating payers to forge connections with subject matter experts in the myriad issues related to CPC+ and primary care APM adoption. Through the PAC, the LAN will develop a series of toolkits addressing such topics as performance measurement alignment, multi-payer data sharing and practices, and total cost performance issues. The aim is to accelerate the adoption of primary care APMs and deliver the support practices need to succeed using those models.

If you have questions, please contact Tanya Alteras at talteras@mitre.org.

LAN Progress

PRE Hub Needs Your Help to Generate Evidence for Payment Reform

The Payment Reform Evidence (PRE) Hub is working to disseminate lessons learned from existing evaluations, provide tools that organizations can use when considering evaluating their initiatives, and coordinate new evaluations of promising care delivery and payment models. To this end, the PRE Hub would like to learn about any evaluations that your organization has completed and about payment initiatives that have not been evaluated (past, present, or future). Please fill out this survey to let the PRE Hub know the basics about your payment reform initiative, and they will follow up with you to learn more. If you have questions, please contact Rob Saunders at robert.saunders@duke.edu.

take the survey

Of Interest

Webinar Today on MACRA & Safety Net Organizations

Today, the Safety Net Advancement Center (SNAC) is hosting a free webinar for safety net providers about the implications of the Medicare Access and CHIP Reauthorization Act (MACRA). The webinar will take place from 2 – 3:30 pm EST and will focus on the practices of safety net organizations as they relate to MACRA.

Annual CAPG Colloquium Sept 28-30 in Washington, DC

Join the CAPG Colloquium and hear from leading executives, physicians, and policymakers working on the frontiers of payment reform. Speakers include Andy Slavitt (CMS), Francis Crosson (MedPAC), David Cordani (Cigna), and Neera Tanden (Center for American Progress). The colloquium will feature sessions on how physician organizations are responding to MACRA’s payment opportunities, including both the Quality Payment Program (which implements the Merit-based Incentive Payment System) and APMs.

Health Care Payment Learning & Action Network

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.