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Date(s) - Friday, December 11, 2015, 12:00 PM - 2:00 PM

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Objectives for the Meeting

  • Discuss feedback on the APM Framework White Paper and make decisions regarding revisions required
  • Address key question on White Paper raised by the LAN
  • Review and obtain feedback on updated draft metrics
  • Discuss measurement effort for April LAN Summit
  • Review next steps and upcoming events and activities


  • Welcome and Meeting Overview – Sam Nussbaum, Lauren Icard
  • APM Framework White Paper – Sam Nussbaum, Grischa Metlay
    • Overview of LAN comments on the White Paper
    • Questions for Work Group consideration
    • Make decisions regarding revisions to the White Paper
  • Measurement Effort – Andréa Caballero
    • Review Work Group decisions regarding the metrics
    • Discuss updates to the draft metrics
    • Discuss measurement effort for April LAN Summit
  • Wrap-Up – Sam Nussbaum, Lauren Icard
    • Review APM Work Group next steps
    • Closing remarks


On Friday, December 11, the APM FPT Work Group held a virtual meeting to discuss revisions to the APM Framework White Paper. A total of 113 comments, running 285 pages, were received from 79 unique individual or organizational participants. Of particular interest to the Work Group were recommendations about the need for more clarity regarding where and how certain groups will fit into the Framework. The Work Group is working to address this and is recommending a way forward to help stakeholders better understand how their models will fit into the Framework. Another point of discussion was a proposal to add an additional sub-category (4C) to the Framework to capture highly integrated payment and delivery systems, such as provider-sponsored health plans. The Work Group is including discussion of this issue in the final white paper.

The Work Group also received several comments about what qualifies as a sufficient incentive for motivating provider behavior changes in the context of APMs. The Work Group discussed the need to better understand this issue and what incentives might be appropriate over time. The final version of the white paper will be released on January 12, and the APM FPT Work Group will host a webinar the same day to present the paper, share some case studies, and encourage adoption of APMs. Register for the webinar.

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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