Charlie Fazio, MD
Senior Vice President and Health Plan Medical Director for HealthPartners
As the LAN pivots from a conceptual learning phase into an action and implementation phase, we are helping to align and accelerate payer efforts to transform primary care delivery and payment through a new effort called the LAN Primary Care Payer Action Collaborative (PAC).
What is the PAC?
The LAN launched the PAC in October 2016 to serve as a “national table” driven by public and private payers committed to improving primary care by:
- Identifying and committing to collective goals;
- Sharing learning to accelerate action; and
- Tackling operational barriers to successful implementation of alternative payment models (APMs) with an initial focus on Comprehensive Primary Care Plus (CPC+), a multi-payer, multi-region APM demonstration program of the Center for Medicare & Medicaid Innovation (CMMI) at the Centers for Medicare & Medicaid Services (CMS).
The LAN is not able to offer PAC participants any financial support or personalized consulting or technical assistance. This is a voluntary effort and participating organizations are not committed to a broader CMS or private sector initiative.
How were the PAC’s priorities and milestones determined?
Payers participating in the PAC identified their highest-priority issues and challenges for which they need support when implementing APMs. For the initial phase of work, these focus areas align with several target milestones of the CPC+ program and guide the PAC’s work along three tracks:
- Designing and assessing regional success in CPC+
- Operationalizing data distribution and aligning quality measure sets and reporting in CPC+
- Operationalizing CPC+ “Track 2” payments, which involve a combination of capitation and fee-for-service payment, as well as performance-based incentives
As 2017 progresses, the PAC will evolve and adjust focus areas to meet changing payer needs.
Review the LAN’s PAC presentation from the September 9, 2016, CPC+ Payer Summit.