Alice H. Chen, M.D., MPH serves as the chief health officer for Centene Corporation, where she is responsible for developing strategies, policies, and programs in support of improving population health. Prior to joining Centene, Dr. Chen worked to enhance health care strategy on quality, equity, and delivery system transformation as Covered California’s chief medical officer. She has been actively involved with the LAN since 2021, as a member of the Health Equity Advisory Team (HEAT) and as a panelist at the 2022 LAN Summit.
She has previously led health policy initiatives on affordability and access at the California Health and Human Services Agency and played a pivotal role in the state’s response to the COVID-19 pandemic. Dr. Chen was also a professor of medicine at the University of California San Francisco School of Medicine, based at the Zuckerberg San Francisco General Hospital, where she served as its chief integration officer and founding director of the eConsult program.
Dr. Chen’s extensive experience in advancing health equity and quality of care through policy and delivery system innovation will be an excellent addition to the LAN’s Executive Forum. We look forward to her leadership and guidance as we accelerate APM adoption!
The 2023 LAN Spring Series will feature three virtual sessions designed to give you and your organization actionable insight to build effective partnerships, advance accountable care, and gain inspiration from stakeholders taking a locally focused approach to addressing the needs of their state’s population.
Here’s a peek at the upcoming series:
- May 17, 2:00 PM – 3:30 PM ET – Health Equity: Partnering with Community-Based Organizations [Registration is now open!]
A panel discussion on how payers can build trust and more effective partnerships with community-based organizations in alternative payment models and value-based payment programs.
- June 8 – Primary Care’s Role in Advancing High-Quality, Accountable Care
CMS leadership joins us to discuss their vision for a resilient, person-centered health system by strengthening primary care. In addition, the LAN will launch the new interactive Accountable Care Curve tool. More information coming soon!
- July (Date TBD) – State Transformation Collaboratives (STCs)
Join the State Transformation Collaboratives panel as they reflect on their experiences with value-based care. Hear about their successes in generating multi-payer alignment in critical areas, such as performance measurement and reporting, timely and consistent data sharing, advancing health equity, and more!
Mark your calendars! The 2023 LAN Summit will be in-person at the Grand Hyatt Washington on October 30. Details coming soon.
The LAN Summit is a free, multi-stakeholder event that convenes payers, providers, purchasers, patients, product manufacturers, policymakers, and others, for a full day of collaborative discussion and collective action in a shared mission to lower care costs, improve patient experiences and outcomes, reduce the barriers to APM participation, and promote shared accountability.
Following the 2022 LAN Summit, the 2030 APM Goals were open for public feedback for over three months as we reached out to over 10,000 stakeholders across the health care continuum.
After careful consideration of all the feedback that was submitted, the LAN has decided to leave these ambitious and achievable goals in place.
We appreciate the organizations and individuals who provided feedback on the 2030 APM goals. Your insights will continue to help guide our APM recommendations.
Listen to the latest episode of Spotlight on Action, now streaming!
In this episode, host Frank McStay, assistant research director on the Health Care Transformation team at the Duke-Margolis Center for Health Policy, sits down with Jeff Micklos and Leah Binder, Accountable Care Action Collaborative (ACAC) co-chairs. The ACAC is LAN’s newest initiative and aims to catalyze the accountable care landscape beyond payment reform and increase collaboration and alignment across key stakeholder groups.
What to listen for:
[4:13] How the Accountable Care Curve will help stakeholders model transformation
[6:31] How patients and organizations will benefit from the ACAC’s efforts
[9:17] Jeff and Leah share how their experience aligns with ACAC goals
[11:16] The importance of collaborative action
[20:42] Health equity calculator
[22:34] The value of accountable care
Z Code Roundtable Discussion
Participants from across the four STC states gathered with subject matter experts for a roundtable discussion on strategies for a statewide approach to social determinants of health (SDOH) screening and the use of Z codes for SDoH screenings and payment.
The roundtable discussion included:
- Success and insights from California and North Carolina
- How SDoH information is collected and validated
- How 2023 Z codes are being socialized with providers, the types of providers using the codes, and necessary guidance/education to use the codes
- Using SDoH Z code data to connect patients to community resources
The HEAT’s Social Risk Adjustment document describes the essential and enhanced approaches necessary for promoting multi-stakeholder alignment through social risk adjustment (SRA) and provides guidance for how you and your organization can implement SRA in value-based care settings.
Look back at the HEAT’s panel discussion on social risk adjustment from the 2022 LAN Summit:
We want to learn more about stakeholder needs. Please take this short, four-question survey and let us know what accountable care resources or supporting information would best serve you or your organization.
After you complete the survey, please share it with others to help us collect valuable insight into how we can better assist health care stakeholders.
CMS Administrator Chiquita Brooks-LaSure
Read more: CMS Announces Increase in 2023 Organizations and Beneficiaries Benefiting from Coordinated Care in Accountable Care Relationships: https://www.cms.gov/newsroom/press-releases/cms-announces-increase-2023-organizations-and-beneficiaries-benefiting-coordinated-care-accountable
• CMS has announced three accountable care initiatives that will provide high-quality care to over 13.2 million people with Medicare in 2023, including the Medicare Shared Savings Program and two CMS Innovation Center accountable care model tests. CMS Administrator Chiquita Brooks-LaSure gave her remarks on the announcement by highlighting that “through the CMS accountable care initiatives and working with our partners, we have made significant progress in addressing our greatest health care challenges.”
CMMI Director Liz Fowler
Read more: CMMI Director Liz Fowler: Expect Advance Primary Care, Total Cost Models to Be Released in 2023: https://www.fiercehealthcare.com/payers/cmmi-liz-fowler-expect-advance-primary-care-total-cost-models-be-released-2023
• CMMI Director Liz Fowler recently discussed the development of four new advanced primary care models that are part of an effort to increase the ranks of specialists in value-based care and enable states to manage the total cost of care. She shared her thoughts about the upcoming initiative, stating that “there’ll be a focus on financial calculations [to] make it possible for more safety net providers to participate. We will continue to focus on addressing health equity.”
LAN Executive Forum Co-Chair Dr. Mark McClellan
Read more: Accountable Care In 2023: Evolving Terminology, Current State, And Priorities: https://healthpolicy.duke.edu/publications/accountable-care-2023-evolving-terminology-current-state-and-priorities
• Mark McClellan co-authored a recent article in Health Affairs on advancing accountable care in 2023. This journal article details the evolving definition of accountable care, provides an overview of accountable care models across payers this year, and describes the key challenges for improving health experiences for all.
CMMI Chief Medical Officer Dr. Dora Hughes
Listen and read more: Ep 142 – Alternative Payment Model Innovation: Making Value Synonymous with Equity, with Dr. Dora Hughes: Ep 142 – Alternative Payment Model Innovation: Making Value Synonymous with Equity, with Dr. Dora Hughes – The Race to Value Podcast™
• CMMI Chief Medical Officer Dr. Dora Hughes appeared on the Race to Value podcast to share her insights on CMMI’s increasing efforts to advance health equity, and how accountable care organizations can achieve success by utilizing health equity strategies. She also highlighted the Innovation Center’s work to redesign alternative payment models for equity.
ChenMed CEO Dr. Christopher Chen
Listen and read more: Serving Communities with Love and Value-Based Care: Serving Communities With Love And Value-Based Care – Most Loved Workplace®
• Dr. Christopher Chen appeared on the Most Loved Workplace’s podcast, The Leader Show with Lou Carter, to discuss the importance of creating a loving and supportive health care environment for all. Dr. Chen described how maintaining a focused mission and reinforcing accountability can promote various benefits for health care settings, including reducing hospitalization rates, emergency room visits, and burnout.
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.