- March 24, 2016
- Posted by: Health Care Payment Learning & Action Network
- Category: LAN Update
On behalf of the Health Care Payment Learning & Action Network (LAN), the Payer Collaborative invites you to submit comments and feedback on a proposed nationwide data collection survey designed to help the LAN assess the adoption of alternative payment models (APMs). This initiative follows the development and release of the APM Framework by the LAN’s APM Framework Progress and Tracking Work Group. The survey will launch in mid-May and is anticipated to run for eight weeks, through mid-July.
Your Input Needed to Inform Measurement Survey
The results of the nationwide survey will help the LAN assess progress in APM Framework adoption. However, before the Payer Collaborative launches the survey, we would like to receive comments and feedback from payers and stakeholders on the proposed methodology for measuring progress of APM adoption.
In particular, the LAN is seeking input on the feasibility of obtaining internal data from a wide variety of plans and the anticipated investment of time necessary to complete the survey. The comment period will close April 16, 2016. We value your input:
Submit Your Plan Data for Aggregation
In addition, the LAN is currently recruiting public and private health plans to volunteer to participate in the APM data collection survey. Individual plan data will be aggregated with data from hundreds of other payers participating in the effort to help provide a view of the nation’s progress towards payment reform. Individual plan data will not be shared. Interested plans should contact Lauren Icard at Lauren.Icard@us.gt.com for more information. You may also contact Lauren if you have questions about this initiative.
Thank you for your involvement.
Purchasers
Enabling Organizations | 
Policy Makers
Community Organizations
Emily DuHamel Brower, M.B.A., is senior vice president of clinical integration and physician services for Trinity Health. Emphasizing clinical integration and payment model transformation, Ms. Brower provides strategic direction related to the evolving accountable healthcare environment with strong results. Her team is currently accountable for $10.4B of medical expense for 1.6M lives in Medicare Accountable Care Organizations (ACOs), Medicare Advantage, and Medicaid and Commercial Alternative Payment Models.
Mr. James Sinkoff is the Deputy Executive Officer and Chief Financial Officer for Sun River Health (formerly known as Hudson River HealthCare), and the Chief Executive Officer of Solutions 4 Community Health (S4CH); an MSO serving FQHCs and private physician practices.
Victor is the Chief Medical Officer for TennCare, Tennessee’s Medicaid Agency. At TennCare, Victor leads the medical office to ensure quality and effective delivery of medical, pharmacy, and dental services to its members. He also leads TennCare’s opioid epidemic strategy, social determinants of health, and practice transformation initiatives across the agency. Prior to joining TennCare, Victor worked at Evolent Health supporting value-based population health care delivery. In 2013, Victor served as a White House Fellow to the Secretary of Health and Human Services. Victor completed his Internal Medicine Residency at Emory University still practices clinically as an internist in the Veteran’s Affairs Health System.
Dr. Brandon G. Wilson, DrPH, MHA (he, him, his) joined Community Catalyst as the Director of the Center for Consumer Engagement in Health Innovation, where he leads the Center in bringing the community’s experience to the forefront of health systems transformation and health reform efforts, in order to deliver better care, better value and better health for every community, particularly vulnerable and historically underserved populations. The Center works directly with community advocates around the country to increase the skills and power they have to establish an effective voice at all levels of the health care system. The Center collaborates with innovative health plans, hospitals and providers to incorporate communities and their lived experience into the design of systems of care. The Center also works with state and federal policymakers to spur change that makes the health system more responsive to communities. And it provides consulting services to health plans, provider groups and other health care organizations to help them create meaningful structures for engagement with their communities.
Tamara Ward is the SVP of Insurance Business Operations at Oscar Health, where she leads the National Network Contracting Strategy and Market Expansion & Readiness. Prior to Oscar she served as VP of Managed Care & Network Operations at TriHealth in Southwest Ohio. With over 15 years of progressive health care experience, she has been instrumental driving collaborative payer provider strategies, improving insurance operations, and building high value networks through her various roles with UHC and other large provider health systems. Her breadth and depth of experience and interest-based approach has allowed her to have success solving some of the most complex issues our industry faces today. Tam is passionate about driving change for marginalized communities, developing Oscar’s Culturally Competent Care Program- reducing healthcare disparities and improving access for the underserved population. Tamara holds a B.A. from the University of Cincinnati’s and M.B.A from Miami University.
Dr. Peter Walsh joined the Colorado Department of Health Care Policy and Financing as the Chief Medical Officer on December 1, 2020. Prior to joining HCPF, Dr. Walsh served as a Hospital Field Representative/Surveyor at the Joint Commission, headquartered in Oakbrook Terrace, Illinois.
