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Date(s) - Tuesday, March 22, 2016, 2:30 PM - 3:30 PM

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 Target Audience

Provider organizations and practicing clinicians


The LAN’s Clinical Episode Payment (CEP) Work Group recently released a draft White Paper on Elective Joint Replacement. The Elective Joint Replacement White Paper describes the design elements which address questions stakeholders must consider when designing an episode payment model and the operational considerations related to implementing an episode payment model. This LAN Listening session is an opportunity for providers to discuss, ask questions about, and offer feedback on the draft white paper on elective joint replacement. Panelists include Kevin Bozic (University of Texas at Austin), Mark Froimson (Trinity Health), and Richard Shonk (The Health Collaborative).


  • Opening Remarks and LAN Overview – Anne Gauthier
  • CEP Work Group Overview – Richard Shonk, MD, PhD
  • Using Patient-Reported Outcome Measures to Inform Shared Clinical Decision Making – Kevin Bozic, MD
  • Trinity Health Strategy for Episode-Based Payment – Mark Froimson, MD
  • Facilitated Discussion – Anne Gauthier
  • Upcoming LAN Activities and Closing Comments – Anne Gauthier

Event Recap

The LAN held a listening session for providers on March 22 to share and discuss the LAN’s preliminary recommendations on clinical episode payment models for elective joint replacement. Dr. Richard Shonk, CEP Work Group member and Chief Medical Officer to Lead Regional Health Transformation Work at The Health Collaborative, provided an overview of the CEP Work Group’s charge and discussed the Work Group’s episode payment recommendations for  elective joint replacement, followed by Dr. Kevin Bozic, CEP Work Group member and Chair of Surgery and Perioperative Care at at the University of Texas at Austin’s Dell Medical School, who discussed the use of patient-reported outcome measures in joint replacement procedures. Lastly, Dr. Mark Froimson, CEP Work Group member and Executive Vice President and Chief Clinical Officer at Trinity Health, discussed his organization’s strategy for implementing episode-based payments. The panel entertained comments and questions from the audience on topics such as if the preliminary focus on elective joint replacement in clinical settings should be to assess the medical necessity of the joint replacement versus to control its post acute care costs, the inclusion of anesthesia care considerations in the draft Elective Joint Replacement White Paper, and best use of validated tools such as PRO measures. 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.


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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