






HEALTHCARE RESILIENCY FRAMEWORK
The vision of the LAN is to create a health care system that is responsive and resilient to events such as the unprecedented COVID-19 public health emergency (PHE) and achieves better patient experience, outcomes, equity, quality, appropriateness, affordability and accessibility at reduced total cost of care– not just a system that recovers to previous models of care and payment. In collaboration, payers and providers can lead the way through actions that shift payments from FFS approaches that have not worked well in the pandemic and into effective APMs. The below framework describes key actions that payers, providers, and multi-stakeholder groups can take in both the short-term and medium- to long-term to promote more resilient, effective APMs. The actions are inter-related and an organization’s strategy for resiliency is likely to involve a combination of the actions.
CLICK BELOW TO VIEW THE FULL FRAMEWORK ACTIONS
PAYER ACTIONS
Short-term Actions | Medium- to Long-Term Actions | |
---|---|---|
TRANSITION TO |
Link short-term financial relief with longer-term adoption of APMs and ultimately movement to population-based payment |
|
![]() PROMOTE EQUITY |
|
|
![]() CALIBRATE APMS TO |
|
|
![]() ADVANCE WHOLE-PERSON CARE THROUGH INCREASED CLINICAL INTEGRATION |
|
|
PROVIDER ACTIONS
Short-term Actions | Medium- to Long-Term Actions | |
---|---|---|
TRANSITION TO |
Accept short-term funding incentives offered by payers to transition toward APMs in the PHE recovery phase |
|
![]() PROMOTE EQUITY |
Participate in surveillance and data sharing between organizations to identify and manage high-risk patients, including sharing of test data, collection and reporting of race and ethnicity data, facilitation of contact tracing, and data support for COVID-19 care management at home |
|
![]() CALIBRATE APM PARTICIPATION TO ACCOUNT FOR VARYING PROVIDER NEEDS |
Make necessary investments in infrastructure and training to expand virtual and home-based care options for patients affected by COVID-19 (e.g., digital patient self-triage tools) | Within larger systems, calibrate or recalibrate timeframes for transition to risk that account for varying needs for capital, technology investment, and other infrastructure supports that contribute to resiliency among different types of providers |
![]() ADVANCE WHOLE-PERSON CARE THROUGH INCREASED CLINICAL INTEGRATION |
|
|
MULTI-STAKEHOLDER ACTIONS
Short-term Actions | Medium- to Long-Term Actions | |
---|---|---|
ENGAGE IN PARTNERSHIPS TO SUPPORT TRANSITION TO EFFECTIVE APMs |
|
|