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Date(s) - Wednesday, September 30, 2015 — Thursday, October 01, 2015, 3:00 PM - 5:00 PM

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Objectives for the Meeting

  • Conduct substantive review of the APM Framework White Paper
  • Revisit objectives and scope for Population-Based Payment (PBP) Work Group and Clinical Episode Payment (CEP) Work Group
  • Gain consensus on plans and a roadmap for engaging and equipping stakeholder groups
  • Explore the impact of the new MACRA law on the work of the LAN

Agenda – September 30, 2015

  • Welcome, Introductions and Opening Comments – Anne Gauthier, Mark McClellan, Mark Smith
  • APM Framework and Progress Tracking Work Group – Sam Nussbaum
    • Review of draft APM Framework White Paper
  • Moderated Panel: Lessons of other Public-Private Partnerships – Mark McClellan
    • Aviation Safety Information Analysis and Sharing (ASIAS) Partnership – Randy McGuire 
    • Health Care Fraud Prevention Partnership (HFPP) – Alanna Lavelle 
  • Wrap-up and Preview – Mark Smith, Anne Gauthier

Agenda – October 1, 2015

  • Preview the Day – Anne Gauthier, Mark McClellan
  • Engagement Action Planning – Mark Smith, Kris Prendergast
    • Review engagement goals and proposed roadmap
    • Schedule of events/conferences
    • Targeting missing plans/providers
    • Suggestions for provider tools
    • Collaboration portal walk-through
  • Connecting with Stakeholders: Leveraging Existing Work – Mark McClellan
    • Identify collaboration opportunities and determine action steps
  • LAN Summit on October 26, 2015 – Darren DeWalt, Alison Shippy
  • Medicare Access and Children’s Health Insurance Program [CHIP] Reauthorization Act (MACRA) – Mark Smith, Mai Pham, Rahul Rajkumar
    • Review APM provisions in MACRA and discuss relationship to LAN work
  • Population-Based Payment (PBP) and Clinical Episodes Payment (CEP) Work Groups – Mark McClellan, Lew Sandy, Dana Safran
    • Update on composition
    • Discussion with Chairs on objectives and scope
  • Measuring Adoption of APMS – Sam Nussbaum, Andrea Caballero
    • Preliminary input on work group plans for developing a measurement framework
  • LAN Affinity Group Update – Mark McClellan, Mark Smith
    • Purchaser Affinity Group – David Lansky
    • Consumer/Patient Affinity Group – Debra Ness 
  • Wrap-up, Feedback, and Next Steps – Mark McClellan, Mark Smith, Anne Gauthier


On September 30 and October 1, the Guiding Committee held a two-day in-person meeting to discuss the status of LAN activities and several new areas of focus.

Some topics covered during the two-day meeting included:

  • Update on the APM Framework and Progress Tracking Work Group
  • Moderated Panel: Lessons from other Public-Private Partnerships
  • Update and Discussion about the two new work groups: the Population-Based Payment (PBP) and Clinical Episode Payment (CEP) Work Groups
  • Update on the LAN Affinity Groups focused on Purchasers/Employers and Consumers/Patients
  • Communications, Engagement and Connecting with Stakeholders
  • Update on the In-Person LAN Summit Scheduled for October 26
  • Overview of the Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorization Act (MACRA)

Committee members welcomed two new members: Sally Welborn, Senior Vice President, Global Benefits, Walmart Stores, Inc., and Dorothy Teeter, Director, Washington State Health Care Authority, who will be replacing outgoing members. A robust discussion generated feedback on the draft APM Framework White Paper, which will be released to LAN participants for comment the week of October 19. Members reviewed and discussed the objectives and scope of the two new work groups and reviewed general implications of the MACRA law and its relationship to the LAN. The committee identified collaboration opportunities with other efforts focused on payment reform. Members also brainstormed ways of engaging organizations in commitments to LAN APM recommendations when those become available.

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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