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Date/Time
Date(s) - Friday, September 18, 2015, 2:30 PM - 4:30 PM

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Objectives for the Meeting

  • Review and confirm consensus principles
  • Review working version of APM Framework Model
  • Discuss follow-up topics for APM Framework and gain consensus on responses to discussion questions
  • Gather high-level feedback on working draft of APM Framework white paper
  • Review next steps and upcoming events and activities

Agenda

  • Welcome and Meeting Overview – Sam Nussbaum, Anne Gauthier
  • Summary of Recent ACO Results – Rahul Rajkumar
  • Review Consensus Principles – Sam Nussbaum
    • Recap consensus principles shared with work group members on September 4, 2015
    • Collect feedback from work members and/or gain consensus on principles
  • Review working version of APM Framework Model – Sam Nussbaum
  • Discuss APM Framework Follow-up Topics – Sam Nussbaum
    • Recap follow-up topics shared with work group members on September 4, 2015
    • Gain consensus on responses to discussion questions
  • Discussion on Working Draft of APM Framework White Paper – Sam Nussbaum
    • Collect high-level feedback on working draft of white paper
  • Wrap-Up – Sam Nussbaum, Anne Gauthier
    • Recap agreements
    • Discuss next steps and upcoming events
    • Closing remarks

Summary

The APM Framework and Progress Tracking (APM FPT) Work Group met on September 18 and October 5 to collectively finalize the draft APM Framework White Paper in anticipation of its release the week of October 19.

The White Paper explains why the work group believes that a shift towards population-based payments is a necessary step to achieving patient-centric healthcare in the United States. The White Paper also describes the approach that the work group used to develop the APM Framework, and then delineates and describes principles upon which the APM Framework is based. With these principles in mind, the White Paper differentiates the categories within the APM Framework by explaining how the categories are defined and where the boundaries between them lie. In order to further clarify the classification of individual APMs, case studies are used to exemplify each of the categories and subcategories in the APM Framework. The White Paper concludes with a summation of the work group’s key findings and recommendations.

The work group will be releasing the draft White Paper on Handshake a few days prior to the October 26 LAN Summit and collecting comments through early November. The LAN Summit is a great opportunity to hear directly from work group members on the White Paper and to provide feedback.

Download Full Summary

To achieve the goal of better care, smarter spending, and healthier people, the U.S. health care system must substantially reform its payment structure to incentivize quality, health outcomes, and value over volume. The Health Care Payment Learning and Action Network (LAN) was established as a collaborative network of public and private stakeholders, including health plans, providers, patients, employers, consumers, states, federal agencies, and other partners within the health care community.

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