Alternative Payment Model (APM) Framework Refresh

Alternative Payment Model (APM) Framework White Paper
Refreshed 2017

Report: Released July 11, 2017


This white paper puts forward an alternative payment model (APM) framework that can be used to track progress on payment reform along a path that supports person-centered care. First published in January 2016 and modified in 2017 to reflect fast-moving developments in the APM landscape, the Framework establishes a common nomenclature for defining, implementing, and sharing successful payment models and has been widely adopted across the health care ecosystem. The 2017 update makes changes to Framework subcategories, clarifies payment reform goals, and identifies ways to increase APM adoption among small, rural, and safety-net providers.


Publication Info

Publication date: July 11, 2017
47 pages

Suggested Citation: Health Care Payment Learning & Action Network. Alternative Payment Models (APM) Framework.
July 11, 2017.


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