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Date(s) - Thursday, March 17, 2016, 2:00 PM - 3:30 PM

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Target Audience

State-affiliated LAN Participants


On Thursday, March 17 from 2:00-3:30pm the LAN hosts a special listening session for States, which highlights the Clinical Episode Payment (CEP) Work Group’s draft Elective Joint Replacement White Paper. Speakers include John Bertko (Covered California), Steve Spaulding (Arkansas Blue Cross Blue Shield), and Brooks Daverman (State of Tennessee).


  • Opening Remarks – Anne Gauthier
  • LAN and Guiding Committee Update – Tom Betlach, MPA
  • CEP Work Goup Overview – John Bertko
  • Arkansas Healthcare Payment Improvement Initiative – Steve Spaulding
  • Tennessee Health Care Innovation Initiative – Brooks Daverman
  • Facilitated Discussion – John Bertko
  • Upcoming LAN Activities and Closing Comments – Anne Gauthier

Event Recap

On March 17 the LAN hosted  special listening session for States. The panel highlighted the Clinical Episode Payment (CEP) Work Group’s draft Elective Joint Replacement White Paper. John Bertko, CEP Work Group member and Chief Actuary of Covered California, discussed the CEP Work Group’s clinical episode recommendations for elective joint replacement, and Steve Spaulding, CEP Work Group member and Senior Vice President of Enterprise Networks at Arkansas Blue Cross Blue Shield (ARBCBS), provided a state level overview of the Arkansas Healthcare Payment Improvement Initiative. Lastly, Brooks Daverman, CEP Work Group member and Director of Strategic Planning and Innovation for the State of Tennessee, provided another state level overview of the Tennessee Health Care Innovation Initiative. LAN members were encouraged to submit comments on the White Paper during its comment period ending on March 28. View the slides from this listening session.

Listening Session Slides- Coming Soon.

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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