September 24, 2018 e-Newsletter

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NEWSLETTER | SEP. 24, 2018

Feature Story | LAN Summit | Keynote Announcements | LAN Progress | Partners in the Spotlight

{IN THIS ISSUE} Interactive Agenda Now Live!, 2018 LAN Summit, Exciting Keynote Announcements, Acclaimed Plenary Panel Guests, New Workshop and Dialogue Sessions, New APM Roadmap Website Launch, Refreshed LAN Website, Partners in the Spotlight

LAN Summit Interactive Agenda Is Up!

The 2018 LAN Summit Interactive Agenda is live! Visit the new page to filter the agenda by session type and Summit themes, which include:

1) Addressing Clinician Challenges in APMs
2) Integrating Patient and Consumer Perspectives into APMs
3) Accelerating Adoption of Successful APMs

In addition to regular panel sessions, we’ve added workshops and dialogue sessions to the agenda as new, interactive ways to learn and network with other attendees. (More on those workshops and dialogue sessions below.)

And this year, we’ve introduced a new mobile app called Guidebook to the LAN Summit. Through the app, attendees can build their own agendas for the day and easily track what’s happening around them, all with a few easy phone taps. Stay tuned in the coming weeks for more information on Guidebook.

The 2018 LAN Summit Is Almost Here!

Registration is open for the fifth annual Health Care Payment Learning & Action Network (LAN) Summit, taking place Monday, October 22^nd at the Sheraton Tysons Hotel in Tysons Corner, Virginia. This year’s Summit theme, “Partnering for the Future,” will be emphasized through various engaging break-out sessions, providing opportunities for innovation and collaboration in addressing clinician challenges, incorporating patient and consumer perspectives, and accelerating the adoption of successful value-based payment models. As in previous years, the Summit will provide a unique platform for health care stakeholders to share information about successful value-based payment models and encourage private entities to share their best practices.

Register today!

New This Year! Workshop and Dialogue Sessions

In addition to a distinguished panel speaker lineup, this year’s Summit offers a new and unique opportunity to learn and network with other attendees, via two workshops and two dialogue sessions.

One workshop will focus on identifying the necessary infrastructures for physician practices to move to value-based payment and the other workshop will address how to effectively engage patients to achieve APM success. Both workshops will address specific challenges in each of these topic areas and offer attendees actionable, practical strategies that they can operationalize within their organizations.

This year, we’ve also introduced dialogue sessions to the Summit agenda. One dialogue session will focus on discussion on how best to support the clinical community’s evolution towards APMs and the other will address value-based insurance design for APMs. Both sessions will be honest and dynamic conversations in which a facilitator will guide the discussion and subject matter expert “listeners” will take in-depth, real-time questions from the audience, creating a safe and organic environment for attendees to ask pressing questions or to share their experiences.

The Results Are Coming! Don’t Miss the 2018 APM Measurement Effort Announcement

Central to the conversation of the Summit’s keynotes, as well as the depth and breadth of the sessions, will be the release of the LAN’s 2018 APM Measurement effort results, illustrating the progress that has been made toward the goal of linking 50% of health care payments to quality and value via APMs by 2018. Don’t miss this opportunity to meet with leaders from the LAN’s Guiding Committee, as well as health system and health plan executives, consumer representatives, and state and federal government officials, all working to accelerate new value-based payment approaches.

Please follow us on social media to learn more about Summit sessions and speakers as they are announced, and don’t forget to register for the Summit today!

Hear from Acclaimed Plenary Panel Guests

This year’s Summit features a heavily-anticipated plenary panel, “The Role of Behavioral Economics in Driving Alternative Payment Model Success,” led by world-renowned physician, author, professor, and medical ethicist Dr. Ezekiel Emanuel. Dr. Emanuel, current vice provost for Global Initiatives and chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania, will lead a discussion about how behavioral economic theory impacts the design and operations—and ultimately, the outcomes—of APMs.

Acclaimed guest speakers Dr. Bernadette Loftus from Kaiser Permanente and Adam Brown, M.D. and senior vice president at Envision Healthcare, will join Dr. Emanuel on the panel. Dr. Mark Smith, LAN Guiding Committee co-chair and visiting professor at University of California Berkeley and Clinical Professor of Medicine at the University of California San Francisco, will moderate this plenary panel, and additional speakers yet to be confirmed will also join.

Visit the 2018 LAN Summit website to register and stay up to date on Summit speakers and sessions. This year, Summit attendees will be able to build their own agenda for the day, as well as download slides and read speaker bios via the Guidebook app included on the LAN Summit website.

Exciting Keynote Announcements

We’re delighted to announce that Adam Boehler, deputy administrator for Innovation & Quality for the Centers for Medicare & Medicaid Services and director of the Center for Medicare & Medicaid Innovation (CMMI), and Dr. Patrick Conway, former CMS Principal Deputy Administrator and CMMI director and current president and CEO of Blue Cross Blue Shield North Carolina, will serve as keynote speakers at the 2018 LAN Summit.

Both Boehler and Conway will demonstrate the continuity and alignment of the commitment to fostering value-based payment models. They will share examples and promising practices in payment reform that highlight continued fidelity to the goal of advancing value-based payment solutions across the health care system that lower costs and improve patient outcomes. Mark McClellan, LAN Guiding Committee co-chair and director of the Robert J. Margolis Center for Health Policy, will moderate.

LAN Progress

New! APM Roadmap Website Just Launched

Check out the LAN’s newest website announcing the development of the Roadmap for Driving High Performance in APMs. This latest initiative is aimed at providing operational guidance for implementing successful Category 3 and 4 APMs. The Roadmap will be an implementation guide that payers can use to work with providers, purchasers, consumers, and others to accelerate the creation and adoption of high-performing APMs with criteria to evaluate the success of APMs and best practices payers and providers for driving high performance in the APM.

The Roadmap for Driving High Performance in APMs is being developed by the LAN’s multi-stakeholder Roadmap Work Group, comprised of experts with extensive experience in the design and implementation of APMs. Early findings on correlates of success from the available literature and discussions with various stakeholders, as well as examples of high-performing APMs, will be shared at this year’s LAN Summit on October 22. The Roadmap Working Group will be presenting this information to capture direct feedback from the field on the work completed thus far and to help develop a truly practical roadmap. The final Roadmap for Driving High Performance in APMs will be released in early 2019. Please continue to visit the LAN website to learn about the Working Group’s milestones in the coming months.

For questions about the APM Roadmap Initiative, please contact Jennifer Sulkin (jsulkin@mitre.org).

Refreshed! Check Out the Updated LAN Website

In an effort to continue sharing the LAN’s latest APM products and resources with health care stakeholders, the LAN team recently refreshed its website to more intuitively guide visitors to the best information on designing and implementing APMs. The updated site features the LAN’s resources more prominently on the homepage via the following four categories:

About the LAN
APM Framework
APM Design & Implementation
LAN Summit

The new design highlights the LAN’s landmark products such as the Refreshed APM Framework and the APM Measurement effort, as well as its newest project, the LAN’s Roadmap for Driving High Performance in APMs. The work and resources of the Primary Care Payer and the Maternity Multi-Stakeholder action collaboratives are accessible on the new site, as well as an updated “About the LAN” page and a LAN Overview presentation that explains how the LAN is working to accomplish its goal of linking 50% of all healthcare payment in the U.S. to quality and value through APMs by 2018.

Check out the LAN’s new site and follow us on Twitter for the latest news and resources on APM adoption.

Partners in the Spotlight

The Health Care Transformation Task Force and the Pacific Business Group on Health Release New Whitepaper and Tool to Assist Providers and Payers in HNHC Program Contracting

Health care providers are increasingly adopting programs to better serve high-need, high-cost (HNHC) patients, a small percentage of individuals with complex medical, social, and behavioral needs who utilize the largest proportion of national health care resources. However, a significant barrier to widespread adoption of these HNHC programs is identifying sustainable payment streams. The Pacific Business Group on Health, a nonprofit coalition of large health care purchasers, and the Health Care Transformation Task Force, a consortium of leading health care payers, providers, purchasers and patient committed to value, recently released a whitepaper and practical tool to assist providers and payers in HNHC program contracting.

The whitepaper and contracting tool, Best Practices in Care Management Contracting, offer contracting guidance and insight from organizations that operate successful, financially sustainable care management programs. The primary goal of the report and contracting guidance document are to help provider executives and operational leads understand how to effectively contract for programs that improve health and outcomes of HNHC individuals.

The report draws on findings from interviews with nearly a dozen provider organizations that have sustainable programs and business models that support management of the HNHC population.

Maryland Governor Larry Hogan and CMS Sign Nation’s First Healthcare Provider Payment Contract

On July 9, Governor Larry Hogan and CMS Administrator Seema Verma signed Maryland’s Total Cost of Care All-Payer Model contract, ensuring all Marylanders have access to quality healthcare. The Maryland Model incentivizes greater coordinated care, expanded patient-care delivery, and collaboration of chronic disease management across the health system, while improving the quality of care at lower costs to the consumer. It aims to control the growth in healthcare costs, both at hospitals and community providers, while improving patient outcomes and quality of care. The new model contract is expected to provide an additional $300 million in savings per year by 2023, totaling $1 billion in savings over five years. Read more about the Maryland Model here.

Catalyst for Payment Reform Finds Sharp Growth in Value-oriented Payment Methods

A report recently published by Catalyst for Payment Reform (CPR), The State of Evidence in Payment Reform, highlights which elements of payment reform have been the most effective based on data gathered and evaluated since 2010. According to the report, there has been a sharp growth in value-oriented payment methods, and it also cites that several Medicaid episode-based payment programs have improved quality of care for certain conditions. While the report finds that certain reforms work better than others, it also suggests that more thorough research needs to be done to continue to motivate health care stakeholders to transition from fee-for-service. Read the report here.

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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.