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Date(s) - Monday, October 05, 2015, 3:00 PM - 5:00 PM

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Objectives for the Meeting

  • Review APM whitepaper feedback from the Guiding Committee and the Work Group
  • Discuss the MARCA and its implications on the APM Framework
  • Discuss Advancing the Measurement Charge
  • Review next steps and upcoming events and activities


  • Welcome and Meeting Overview – Sam Nussbaum, Anne Gauthier
  • Review APM Whitepaper Feedback – Sam Nussbaum
    • Feedback from Guiding Committee Meeting
    • Highlights from Work Group Comments
    • Follow-up Question for Work Group Consideration
  • Discussion on MACRA – Von Nguyen
  • Advancing the Measurement Charge – Andréa Caballero
    • Brief Recap of What is Currently Being Done
    • Initial Measurement Recommendations Based on WG Discussions to Date
    • Discussion Topics
    • Major Trade-offs to Consider
  • Wrap-Up – Sam Nussbaum, Jamel Morris 
    • Discuss next steps and upcoming events
    • Closing remarks


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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