Health Care Payment Learning and Action Network: Helping Take the Mystery Out of APMs


Announcements from CMS about new payment bundles and alternative payment models (APMs) are in the news with increasing frequency, and it’s clear the march toward value-based care is well underway. What isn’t clear to the majority of providers is how decisions about bundles and APMs are being made or what the roadmap for the journey looks like. For those who want that insight, there is a solution: the 2016 Health Care Payment Learning and Action Network (LAN) Fall Summit on October 25 in Washington D.C.

“At this meeting, members of the provider community, CMS, private insurers, state Medicaid programs, the American Hospital Association and other industry organizations, including Vizient, will come together to talk about what is planned for APMs in the near term and what the future looks like,” said Keith Kosel, PhD, MHSA, MBA, senior vice president, government affairs for Vizient.

For those in the C-suite and other health care leaders who are developing financial strategies for their organization, the LAN offers true insight into the future financing of health care because all the key players are at the table.

Kosel also notes it’s a shame that the LAN is not more widely known among clinicians, administrators and other health care professionals, because “this group is basically discussing the foundation for all of the MACRA and MIPS work that’s now coming to the forefront.”

To raise awareness of the network and how providers can get involved, Kosel offers the following five insights:

1. The LAN was created in 2011 by the CMS Alliance to Modernize Healthcare (CAMH). It serves as a forum where payers, providers, employers, states, consumer groups, and others discuss, track, and share best practices on how to transition towards APMs.

2. There is no cost to participate in the LAN, and all payers, providers, employers, consumer groups, etc. are invited to join the network. Workgroups and learning sessions are offered to the network’s members to increase adoption of APMs and other care delivery models.

3. Most meetings of the LAN and its workgroups take place by teleconference or Webex. In-person meetings occur periodically and are held in Washington, DC. 

4. The LAN and its workgroups develop common approaches to core issues facing the health care industry, such as beneficiary attribution, financial risk models, benchmarking, quality and performance measurement, and risk adjustment.

5. The LAN website provides access to various work products such as white papers and implementation guides as well as access to LAN e-newsletters and information about upcoming webinars and other events.

Earlier this year, Vizient was designated as a LAN Committed Partner, which is an organization that has committed to specific targets that match or exceed the established goals for accelerating APM adoption.

For more information on the Health Care Payment Learning and Action Network or to register for the October Summit visit their website.


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