Overview
The APM Framework is the LAN’s landmark achievement, establishing a common vocabulary and pathway for measuring successful payment models. Originally published in 2016 and refreshed in 2017, the Framework classifies Alternative Payment Models (APMs) in four categories and eight subcategories, specifying decision rules to standardize classification efforts. It lays out core principles for designing APMs, which have influenced payers and purchasers, and forms the basis of the annual APM Measurement Effort. Private payers like Anthem use the Framework to set value-based payment goals, and at least 12 state Medicaid agencies use it to set value-based purchasing requirements in contracts with managed care organizations. Explore the Framework below.
ALTERNATIVE PAYMENT MODEL (APM) FRAMEWORK WHITE PAPER:
REFRESHED 2017
Released July 11, 2017
Our Goal Statement
Accelerate the percentage of US health care payments tied to quality and value in each market segment through the adoption of two-sided risk alternative payment models (Categories 3B and 4 of the LAN APM Framework).
Blogs
Accelerating Payment Reform Through Informed and Engaged Family Physicians
by Reid Blackwelder, MD, FAAFP
Changing How we Pay for Primary Care
by Sarah Callahan, MHSA; William Golden, MD, MACP; Susan Edgman-Levitan, PA;
Ensuring the Debate has the Patient in Mind and in the Room
by Patrick Courneya, MD
Increasing Purchasing Power in Washington State
by Dorothy Teeter, MHA
Making Health Care Responsive to Patients
By Nancy Lemond, MA
Paying Providers For Value: The Path Forward
by Sam Nausbaum, MD
Paying Providers For Value: The Path Forward (Update)
by Sam Nausbaum, MD; Patrick Conway, MD, MSc; Mark McClellan, MD, PhD; Mark Smith, MD, MBA
Population-Based Payment Models: Overcoming Barriers, Accelerating Adoption
by Elizabeth Mitchell
Purchasers and Value-Based Payment: What You Can Do Now
by Sally Welborn
Why Regional Data and Local Relationships Will Reform Health Care Payment Nationally
by Elizabeth Mitchell; Dana Gelb Safran, ScD; Glenn Steele, MD, PhD
Archival Materials
Draft APM Framework Refresh paper (May 2017): Alternative Payment Model (APM) Framework
Original APM Framework paper (January 2016): Alternative Payment Model (APM) Framework
Original APM Framework One Pager (January 2016): Alternative Payment Model (APM) Framework
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.