Every year, the HCPLAN conducts a national effort to assess the adoption of APMs over time and track progress towards the HCPLAN’s goals. Since its start in 2015, the Measurement Effort has evolved to incorporate data from a large sample of payers that represents nearly 80% of covered Americans, and now serves 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 2023 Measurement Effort results below, and view past reports to track the year-over-year progress in APM adoption.

View Reports

2023 Measurement Results


Lives in Accountable Care Arrangements
This year the HCPLAN introduced metrics across all LOBs aimed at counting the lives in a care relationship with accountability for quality and total cost of care. APMs included in accountable care arrangements are Categories 3 and 4.

Percent of Lives in Accountable Care Arrangements by LOB
2022 Data Year
In 2022, 36.1% of the lives represented by data contributors were covered in accountable care arrangements, across all LOBs.

Contributing Organizations

The HCPLAN Thanks Organizations for Participating in the 2023 Measurement Effort*

Seven years ago, the HCPLAN embarked on its first national APM Measurement Effort to assess the adoption of APMs in the commercial, Medicare Advantage, and Medicaid market segments across the country, with the intention to measure progress toward the goals and to examine how APM adoption is changing over time. The contribution of data from these organizations is critical to the success of the HCPLAN’s Measurement Effort. In total, the contributing organizations represent 86.7% of the total covered lives in the U.S. for calendar year (CY) 2022. If you are a health plan or organization and would like to know how to participate in this effort, please email hcplan@deloitte.com for more information.

* Please note that this is not a comprehensive list of all participants.