The LAN welcomes Dr. Rhonda Medows as the LAN’s new Executive Forum co-chair!
Dr. Medows is the president of Population Health Management at Providence, one of the largest nonprofit health systems in the United States, and chief executive officer of Ayin Health Solutions, a population health management company launched by Providence.
Dr. Medows has been actively involved with the LAN and was a featured speaker at the 2022 LAN Summit where she highlighted the some of the LAN’s goals for increasing access to equitable, accountable care, APM adoption, and integrating specialty care into accountable care.
She brings extensive health care industry experience in both the private sector and government health programs including Medicare and Medicaid. She leads Providence’s Medicaid, Medicare, commercial, and employer population health strategies, as well as the organization’s value-based care, health plans, population health informatics, government programs, care management, contracting, and community health partnerships.
Prior to joining Providence, Dr. Medows served as an executive vice president and chief medical officer for UnitedHealth Group, where she provided leadership and oversight of efforts to improve clinical quality and operational excellence. She also served as secretary of the Florida Agency for Health Care Administration, the state agency responsible for Medicaid and State Children’s Health Insurance Program (SCHIP), health facility regulation, managed care quality, health information exchange, and public policy development. She also served as the chief medical officer for the Centers for Medicare & Medicaid Services southeast region.
The LAN looks forward to Dr. Medows’ leadership, knowledge, and expertise as Co-Chair of the Executive Forum!
The HEAT has developed a new guidance document addressing social risk adjustment and the ways it can be implemented within value-based care settings. HEAT Co-Chair Dr. Marshall Chin moderated a compelling discussion at the 2022 LAN Summit about the guidance and the practical applications, challenges, and successes of using social risk adjustment in the industry, stating “it [must] be combined with other levers to make sure…money goes to the right people.”
Check out the guidance document here and watch the “Health Equity Advisory Team (HEAT) Point of View on Social Risk Adjustment: 2022 HEAT Guidance Document & Panel” session recording to learn more!
The LAN has curated 2030 APM goals aimed towards accelerating health care payments tied to quality and value through the adoption of two-sided risk alternative payment models. Weigh in on these goals to help increase APM adoption across our health care system! Find the feedback form along with the LAN Goal Statement and 2030 APM Goals document here and submit your input by Wednesday, February 15th. Also, watch the “LAN 2022-2023: Forward Momentum” session recording to hear more about the LAN’s 2030 goals!
At the 2022 LAN Summit, the Accountable Care Action Collaborative co-chairs met to discuss the mission, vision, and goals of the initiative. The purpose of the ACAC is to catalyze the accountable care landscape beyond payment reform and increase collaboration and alignment across key stakeholder groups. To learn more, watch the “Accountable Care Action Collaborative (ACAC): Mission, Vision, and Goals” session recording from the 2022 LAN Summit and review the ACAC one-pager here for more information.
If you missed the 2022 LAN Summit, check out all the session recordings here! Hear from some of the leading voices in healthcare innovation as they discuss the advancement of health equity and alternative payment models.
We recently welcomed the National Partnership for Women & Families’ Vice President of Health Justice, Sinsi Hernández-Cancio, to the Spotlight on Action podcast where she discussed her perspective on patient-centered care and the crucial changes needed to transform health equity for all. She also shared her personal and professional experiences with the health care system, emphasizing the inequities that need to be addressed to provide effective, value-based care.
To listen to Sinsi Hernández-Cancio’s Spotlight on Action episode, find it on your favorite podcast platforms or click here: Spotlight on Action – Episode 8 – Sinsi Hernández- Cancio.
Search for Spotlight on Action or HCPLAN and subscribe today to be informed when each new podcast drops and be the first to hear the LAN’s featured stories.
The LAN Goal Statement FAQs are now available on the LAN website! Browse all the frequently asked questions about the LAN’s goals and learn how we’re achieving higher quality, enhanced patient experiences, and health equity at a lower cost.
As we continue to evolve our outreach and support, the LAN wants to provide you, our stakeholders, with information better tailored by stakeholder type and in the areas you feel you need the most support and/or want the most information.
To that end, please answer our quick 4-question survey on how we can better support you!
LAN in the News
LAN Executive Co-Chairs Dr. Judy Zerzan-Thul and Dr. Mark McClellan: Race to Value Podcast Episode
Listen and read more: Accelerating Towards Action: Advancing Multi-Stakeholder Payment Reforms in Value Transformation, with Dr. Mark McClellan and Dr. Judy Zerzan-Thul:
Accelerating Towards Action: Advancing Multi-Stakeholder Payment Reforms in Value Transformation, with Dr. Mark McClellan and Dr. Judy Zerzan-Thul – The Race to Value Podcast™
• LAN Executive Forum Co-Chairs Dr. Mark McClellan, director of Duke-Margolis Center for Health Policy, and Dr. Judy Zerzan-Thul, chief medical officer for Washington State Health Care Authority, discuss the overall goal of the LAN and insights on advancing the use of alternative payment models across the health care system. Topics include how organizations can collaborate and act on strategies that will accelerate the transition to innovative, patient-centered payment models by focusing on equity, access to high-quality and affordable care, engagement of patients, and reduced provider burden.
CMS Administrator Chiquita Brooks-LaSure and HHS Secretary Xavier Becerra
Read more: HHS Secretary Xavier Becerra, CMS Administrator Chiquita Brooks-LaSure Remark on Implementation of Inflation Reduction Act Provision Addressing Medicare Payments for Biosimilars:
• HHS Secretary Xavier Becerra and CMS Administrator Chiquita Brooks-LaSure gave remarks on the implementation of Medicare Part B payment changes for certain biosimilars, one of the first Medicare provisions of the Inflation Reduction Act to go into effect. Administrator Chiquita Brooks-LaSure stated, “The temporary Medicare Part B payment increase for qualifying biosimilars that is now in effect will foster competition in the drug marketplace for conditions such as diabetes, cancer, and immune disorders, and will improve access to these life-saving medicines that help keep people with Medicare healthy.”
CMS Administrator Chiquita Brooks-LaSure
Read more: CMS Approves Arkansas Medicaid Waiver to Address SDOH:
• CMS has approved an amendment to Arkansas’ Medicaid section 1115 demonstration that will test interventions to address housing and food insecurity. CMS Administrator Chiquita Brooks-LaSure shared her insights, stating that “with this demonstration, Arkansas has taken a significant step toward advancing whole-person care for people with health-related social needs.”
LAN Executive Forum Co-Chair Dr. Mark McClellan
Read more: Key Plans for Advancing Accountable Care, Value-Based Payment:
• Dr. Mark McClellan recently spotlighted the new definition of accountable care, sharing that “it recognizes that the care team must be supported in going beyond traditional medical services to improve outcomes and improve equity.”
Read more: Contributor: After COVID-19, an AI-Driven Path to Risk-Adjusted Value-Based Care:
• As payers and providers continue to invest in value-based care, risk adjustment plays an important role in ensuring that health plans receive adequate funding to care for patients, based on each patient’s disease status and risk. Rather than performing chart reviews to find data from patient records and claims, payers are turning to AI-based technologies, as they could help drive accurate and effective risk adjustment in value-based care plans.
CM Deputy Administrator and Director Dr. Meena Seshamani
Read more: Making Healthcare More Accessible and Affordable: A Conversation with Medicare Director Meena Seshamani, MD, PhD: https://www.forbes.com/sites/rhettbuttle/2022/12/06/making-healthcare-more-accessible-and-affordable-a-conversation-with-medicare-director-meena-seshamani-md-phd/?sh=4fc507f75ac6
• Dr. Meena Seshamani recently discussed her leadership and work within the health care system, emphasizing that “as we evaluate lessons learned from the pandemic, we know that we must advance health equity, drive high-quality, whole-person care, and promote affordability and sustainability of the Medicare program and the health care system.”
An American healthcare system that pays for value to the benefit of our patients and communities.
To accelerate the shift to value-based care in order to achieve better outcomes at lower cost.
Our Goal Statement
Accelerate the percentage of US healthcare payments tied to quality and value in each market segment through the adoption of two-sided risk alternative payment models.