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Now available, the Roadmap for Driving High Performance in Alternative Payment Models is a landmark tool designed to help health care stakeholders navigate the inherent challenges and opportunities in APM implementation. The Roadmap contains key insights, promising practices, and the most current strategies for designing and implementing successful APMs, delivered via an interactive, intuitive web experience. Health care decision makers at all stages of APM implementation will find value in the Roadmap’s real-world perspectives and lessons learned from both payers and providers—insights that can help accelerate the shift towards a value-based payment system that improves patient care quality while reducing costs. Explore the Roadmap Tool above, and start charting your course today.

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Read about the Roadmap!

– ROADMAP RESOURCES –

APM ROADMAP
OVERVIEW

EXECUTIVE
SUMMARY

APM ROADMAP
METHODOLOGY REPORT

DATA
COLLECTION
TOOL

EXPLORING
SUCCESS
FACTORS

– RESOURCES –

APM FRAMEWORK
These documents describe an alternative payment model (APM) framework that can be used to track progress on payment reform along a path that supports person-centered care.

APM Framework
Journal of American Medical Association Article


CLINICAL EPISODE PAYMENT MODEL
WHITE PAPERS
These white papers provide high-level recommendations for designing clinical episode payment models. A clinical episode payment is a bundled payment for a set of services that occur over time and across settings.

Maternity Care
 Cardiac Care
 Elective Joint Replacement

POPULATION-BASED
AND SPECIALTY MODELS
Online resource banks which provide a one-stop-shop for all the information and resources needed to facilitate implementation for certain specialty models.

 Maternity Care Resource Bank
Primary Care Payer Resource Bank

POPULATION-BASED PAYMENT MODEL
WHITE PAPERS
These white papers four priority issues that are foundational for the success of population-based payment models.

 Patient Attribution
 Financial Benchmarking
Data Sharing
Performance Measurement

PRIMARY CARE PAYMENT MODEL
WHITE PAPERS
This paper offers principles and recommendations for implementing PCPMs that can help overcome the barriers to effective primary care tied to traditional fee-for-service payments based on the volume of services provided rather than the quality and value of care.

Primary Care Payment Model

Accountable Care Learning Collaborative

Accountable Care Atlas
Case Study Briefs

Premier

White Papers

Health Care Transformation Task Force

Levers of Successful ACOs
Resources and Perspectives

Aledade

Publications

America’s Physician Groups

Standards of Excellence Program
Case Studies

Remedy Partners

Blog
Thomas Buckingham, BSN, MBA Chair
Executive Vice President
Select Medical
Steve Hussey
Senior Vice President, Compensation & Benefits
Western & Southern Financial Group
Craig Brammer
Chief Executive Officer
The Health Collaborative
Andrea Gelzer, MD
Senior Vice President & Corporate Chief Medical Officer
Amerihealth Caritas
Steve Farmer, MD
Senior Advisor and Medical Officer
CMMI
David Kendrick, MD
Chief Executive Officer
MyHealth Access Network
JD Fischer
Senior Health Policy Analyst
Washington State Health Care Authority
Renee McLaughlin, MD
National Medical Director, Value-based Relationships, Cigna
Susan Frampton, Ph.D.
President
Planetree International
Angelo Sinopoli, MD
Chief Clinical Officer, Prisma Health
President, CEO & Founder, Care Coordination Institute

APM FRAMEWORK
These documents describe an alternative payment model (APM) framework that can be used to track progress on payment reform along a path that supports person-centered care.

APM Framework
Journal of American Medical Association Article


CLINICAL EPISODE PAYMENT MODEL
WHITE PAPERS
These white papers provide high-level recommendations for designing clinical episode payment models. A clinical episode payment is a bundled payment for a set of services that occur over time and across settings.

Maternity Care
 Cardiac Care
 Elective Joint Replacement

POPULATION-BASED
AND SPECIALTY MODELS
Online resource banks which provide a one-stop-shop for all the information and resources needed to facilitate implementation for certain specialty models.

 Maternity Care Resource Bank
Primary Care Payer Resource Bank

POPULATION-BASED PAYMENT MODEL
WHITE PAPERS
These white papers four priority issues that are foundational for the success of population-based payment models.

 Patient Attribution
 Financial Benchmarking
Data Sharing
Performance Measurement

PRIMARY CARE PAYMENT MODEL
WHITE PAPERS
This paper offers principles and recommendations for implementing PCPMs that can help overcome the barriers to effective primary care tied to traditional fee-for-service payments based on the volume of services provided rather than the quality and value of care.

Primary Care Payment Model

Accountable Care Learning Collaborative

Accountable Care Atlas
Case Study Briefs

Premier

White Papers

Health Care Transformation Task Force

Levers of Successful ACOs
Resources and Perspectives

Aledade

Publications

America’s Physician Groups

Standards of Excellence Program
Case Studies

Remedy Partners

Blog
Thomas Buckingham, BSN, MBA Chair
Executive Vice President
Select Medical
Steve Hussey
Senior Vice President, Compensation & Benefits
Western & Southern Financial Group
Craig Brammer
Chief Executive Officer
The Health Collaborative
Andrea Gelzer, MD
Senior Vice President & Corporate Chief Medical Officer
Amerihealth Caritas
Steve Farmer, MD
Senior Advisor and Medical Officer
CMMI
David Kendrick, MD
Chief Executive Officer
MyHealth Access Network
JD Fischer
Senior Health Policy Analyst
Washington State Health Care Authority
Renee McLaughlin, MD
National Medical Director, Value-based Relationships, Cigna
Susan Frampton, Ph.D.
President
Planetree International
Angelo Sinopoli, MD
Chief Clinical Officer, Prisma Health
President, CEO & Founder, Care Coordination Institute

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