Registration will open soon for the 2018 Health Care Payment Learning and Action Network (LAN) Fall Summit, taking place on Monday, October 22, 2018, at the Sheraton Tysons Hotel in Tysons, Virginia. This Summit, the LAN’s fifth such event, will focus on “partnering for the future,” and will bring together stakeholders from across the health care system to collaborate on innovative strategies to more rapidly advance adoption of promising alternative payment models (APMs).
The break-out sessions for this year’s Summit will be organized around three themes, all of which are critical to shaping the continued advancement of APMs:
Summit presenters will include:
Registration opens this summer and will be announced via email and social media. Discounted hotel rates at the Sheraton Tysons Hotel are available through our room block. Reserve your room today!
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In our current health care system, the cost of maternity care varies significantly depending on geographic location, payer, type of birth (vaginal or cesarean section), and/or setting in which prenatal care and delivery/birth occur. The LAN’s Maternity Multi-Stakeholder Action Collaborative (MAC) was an effort to support stakeholders seeking to accelerate the adoption of maternity care APMs that both improve outcomes and care experience for mothers and babies, and reduce the cost of care.
The LAN recently released its final product related to the MAC: “Establishing Maternity Episode Payment Models; Experiences from Ohio and Tennessee”. This report highlights the ways in which these two states established their maternity episode payment models for their Medicaid populations, and examines in detail the considerations that drove various high-level, episode-design decision points including: identifying the problem; determining priorities for creating a model that would be feasible to implement; determining the episode budget; developing (or modifying current) systems for operationalization; and ongoing maintenance of the model.
Please visit the Maternity Episode Payment Model Online Resource Bank to read and download the report, as well as to find issue briefs, infographics, and resources from the Maternity Care Action Collaborative (MAC) meetings that were convened by the LAN last year.
|Back to top of page||LAN Begins APM Roadmap Initiative||
The LAN has launched an effort focused on providing operational guidance for implementing successful Category 3 and 4 APMs. This work, tentatively titled a Roadmap to APMs that Drive High Performance, will be an implementation guide that payers can use to work with providers, purchasers, consumers, and others to accelerate the creation and adoption of successful APMs by diffusing the following information:
The APM Roadmap is being developed by a multi-stakeholder Work Group, comprised of experts with extensive experience in the design and implementation of APMs. Guided by a set of criteria linked to high performance in cost and quality measures identified by the Work Group, the LAN will reach out to APM examples in the field to learn about best practices, how they overcame challenges, and other contextual factors influencing success.
The APM Roadmap will also capture lessons learned from APMs that were less successful and were unable to meet the identified success criteria. Both lessons learned and identified best practices will be used to capture the work that needs to be done to operationalize a successful APM.
The initial draft of the Roadmap to APMs that Drive High Performance and related work will be shared more broadly at this year’s LAN Summit, with an eye towards getting additional input from the field. The LAN website will highlight the Working Group’s milestones in the coming months, so stay tuned! For questions about the APM Roadmap Initiative, please contact Jennifer Sulkin (firstname.lastname@example.org).
|Back to top of page||2018 APM Measurement Effort Continues to Move Forward||
The LAN’s 2018 effort to measure national progress toward APM adoption launched May 15. The purpose of this effort is to track progress towards the LAN goal: linking 50% of health care payments to quality and value via APMs by 2018.
The LAN is partnering with the Alliance of Community Health Plans (ACHP), America’s Health Insurance Plans (AHIP), the Association for Community Affiliated Plans (ACAP), Blue Cross and Blue Shield Association of America (BCBSA), and the National Association of Medicaid Directors (NAMD), to recruit individual plan participants. The data collection period started on May 15; plans are in the process of reporting total in- and out-of-network health care spending paid to providers through each of the LAN Framework categories and subcategories during 2017 (or the most recent 12 months in the commercial, Medicaid and Medicare Advantage markets).
This year’s measurement effort asks health plans to report their data based on the category definitions in the LAN’s Refreshed APM Framework, published in 2017. This will also be the first year that the measurement effort will provide results by subcategory and line of business, and this additional granularity will make the results even more actionable.
The results of the 2018 measurement effort will be shared this fall at the 2018 LAN Summit. Please contact Grischa Metlay (email@example.com) to learn more about this effort.
|Back to top of page||LAN’s Primary Care Payer Action Collaborative Holds In-person Meeting||
On May 7, the LAN’s Primary Care Payer Action Collaborative (PAC) held an in-person meeting for attendees to network and discuss the successes and challenges they are experiencing in advancing alternative payment for primary care. Created to support commercial and public payers participating in Comprehensive Primary Care Plus (CPC+), the PAC has convened participants to share learnings and solutions as they work to implement alternative to fee-for-service payments for primary care practices in Track 2 of the CPC+ model.
Topics from the May meeting included: re-visiting the LAN PAC goals; understanding progress made on implementing alternative-to-FFS payments; and discussing preliminary signals that payment change may be driving care delivery change in CPC+ regions.
Participants have been polled/surveyed over the course of the PAC to measure its impact, as well as the progress payers are making toward implementing innovative payment approaches for Track 2 practices. Polling results from the May 7 meeting were compared to August 2017 polling results. They indicated:
The PAC’s many resources – including webinar summaries, slides, and other materials – are available to all on via the Primary Care Payer Resource Bank.
Be sure to check out summaries from the PAC’s interactive webinars—each attended by about 80 participants – held over the past year on topics including: designing payment to support advanced team-based care at the practice site; Medicaid-specific alignment opportunities; and reconfiguring claims processing systems to enable alternative payments. If you have questions about the PAC, please contact Jennifer Sulkin (firstname.lastname@example.org).
|Back to top of page||Partners in the Spotlight||
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