The Health Care Payment Learning & Action Network (HCPLAN, 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.
Since 2015, health care stakeholders have relied on the LAN to align them around core APM design components, host forums and summits to share information and inspire action, build consensus among leaders, and measure the progress of APM adoption. The LAN will continue to be a trusted partner that connects the public and private sectors, identifies and shares best practices, and guides the field in rapidly moving to value-based payment.
Accelerate the percentage of US health care payments tied to quality
and value in each market segment through the adoption of two-sided
risk alternative payment models.
The APM Framework is the LAN’s landmark contribution to health care payment transformation via APMs. It captures a continuum of clinical and financial risks for provider organizations across four payment categories.
At least thirteen states and the District of Columbia are using the Framework to track spending in Medicaid managed care contracts, and many require payers to meet spending targets in Categories 2 through 4.
Health care professionals include payers, purchasers, consumer and patient advocates, state agency and Medicaid representatives, federal agency representatives, and national policymakers
Created a Large Portfolio of Resources
- White papers and informational graphics
- Resources on population-based payment, clinical episode payment, data sharing, and primary care payment reform that stakeholders can use to facilitate APM adoption
Facilitated Two National Forums for Stakeholders to Develop Real-world Solutions to APM Design and Other Implementation Challenges
- The Primary Care Payer Action Collaborative (PAC) convened payers involved in multi-payer primary care APMs and created the Primary Care Payer Action Collaborative Resource Bank, full of useful sources to help payers operationalize alternatives to fee-for-service payment
- The Multi-Stakeholder Maternity Care Action Collaborative (MAC) convened stakeholders across the maternity care system to learn about proven strategies for designing and implementing episode payment models for maternity care. The MAC led to the development of the Maternity Episode Payment Online Resource Bank, a one-stop-shop for maternity APMs, including information on making the business case for maternity APMs and lessons learned.