The Health Care Payment Learning & Action Network (HCP LAN or LAN) is an active group of public and private health care leaders dedicated to providing thought leadership, strategic direction, and ongoing support to accelerate our care system’s adoption of alternative payment models (APMs). The LAN mobilizes payers, providers, purchasers, patients, product manufacturers, policymakers, and others in a shared mission to lower care costs, improve patient experiences and outcomes, reduce the barriers to APM participation, and promote shared accountability.
Last month the LAN held their 2022 Summit, and this year’s event featured appearances by CMS and CMS Innovation Center leadership, the release of the 2022 APM Measurement Effort results, a discussion on the HEAT’s Social Risk Adjustment Guidance for APMs, and the announcement of the LAN’s 2030 APM Adoption Goals for Medicare, Medicaid, and commercial plans.  Joining us this week in the Race to Value are LAN Executive Forum Co-Chairs, Dr. Judy Zerzan-Thul and Dr. Mark McClellan.  They discuss the overall goal of the LAN and the LAN Summit is to collaborate and act on strategies that will accelerate the transition to innovative, patient-centered payment models by focusing on equity, access to high-quality and affordable care, engagement of patients, and reduced provider burden.
https://www.advancinghealthvalue.org/hpclan_summit_22/
Visit the Institute for Advancing Health Value’s website.


Download their recently released Intelligence Brief summarizing the 2022 LAN Summit.

Visit the LAN’s website:


Learn more about 2020 & 2021 APM Measurement Efforts
Consult the HEAT’s APM Design Guidance  –  Advancing Health Equity Through APMs

 
Episode Bookmarks:
01:30 The purpose of the Health Care Payment Learning & Action Network (HCP LAN)
03:00 Introduction to Dr. Mark McClellan and Dr. Judy Zerzan-Thul
05:45 Dr. Mark McClellan speaks to the impact of the pandemic on value-based health reforms
06:45 “Payment flexibilities are one of the unsung heroes in the pandemic when it comes to value transformation.”
07:15 How capitation enabled some to navigate the pandemic favorably, while others struggled with FFS revenue disruption, team-based care, and telehealth deployment.
08:45 CMS payment flexibilities will soon go away so prepare for continued focus on patient-longitudinal well-being and outcomes tracking.
09:45 The especially challenging times of high inflation and workforce resilience and how value transformation is a strategy for sustainability.
12:00 Dr. Zerzan-Thul speaks about the Accountable Care Commitment Curve and how that can guide organizations to advancements in Health Equity.
13:30 The LAN’s Health Equity Advisory Team (HEAT) and its recommendations for developing a Health Equity action plan.
14:30 Measuring equity outcomes through an enhanced data infrastructure and community partnerships.
15:45 Dr. McClellan speaks to how Social Risk Adjustment (SRA) can advance health equity through APMs (starting with ACO REACH)
17:30 The challenges of implicit biases in individual measures of social risk.
18:15 “Risk factors like food insecurity and transportation will eventually get more built in to our approach to health care.”
19:00 The additional considerations of community engagement, peer transformation, and other payment incentives to advance health equity.
20:30 The recent release of the APM Measurement Effort (survey data compiled the HCP LAN).
21:30 Dr. McClellan discusses the current status of 2022 APM adoption (see interactive graphic showing that nearly 20% of payments flowing through Category 3B-4 models.)
24:30 Dr. Zerzan-Thul comments on trajectory of APM adoption and current status of Medicaid transformation in population-based payment.
27:00 Dr. McClellan discusses the Accountable Care Commitment Curve more at length.
29:00 “You can’t get to a critical mass of value transformation in the U.S.

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