2022-2024 Measurement Results
In 2023, more than a third of all U.S. health care payments were already flowing through alternative payment models.
From 2016 through 2024, the HCPLAN conducted a national effort to assess the adoption of APMs over time and track progress towards the HCPLAN’s goals. This Measurement Effort incorporated data from a large sample of payers that represented nearly 92% of covered Americans, and ultimately served as the most comprehensive snapshot available for measuring progress on payment reform. In 2018, the HCPLAN began reporting payment data by line of business (LOB) — Commercial, Medicaid, Medicare Advantage, and Traditional Medicare. Explore the 2024 Measurement Effort results below and view other past reports to track the year-over-year progress in APM adoption. The HCPLAN Measurement Effort has concluded. For additional information, please email hcplan@deloitte.com.
For HCPLAN Measurement Reports published prior to 2022, please reach out to hcplan@rippleeffect.com.
Contributing Organizations
The HCPLAN thanks the following organizations for their participation in the 2024 Measurement Effort*

- AHIP
- BlueCross BlueShield Association
- CenCal Health
- Centers for Medicare and Medicaid Services
- Colorado Access
- Community First Health Plans
- Community Health Plan of Washington
- Cook Children’s Health Plan
- Dell Children’s Health Plan
- Department of Health and Human Services
- El Paso Health
- Mercy Care
- Parkland Community Health Plan
- Select Health
- Trillium Health Resources
- UnitedHealth Group
- Vermont Agency of Human Services
- Washington State Health Care Authority
- Yamhill Community Care
* Please note that this is not a comprehensive list of all participants.















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.
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.
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.





