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Date(s) - Wednesday, February 24, 2016, 12:00 PM - 1:15 PM

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Learning Objectives

Learn About

  • Identifying the high-need, high-cost patient population
  • Basic features of successful care management programs
  • Current payment arrangements for care management services
  • The move from fee-for-service to value-based payment for care management services


  • Opening Remarks – Anne Gauthier, Mark McClellan
  • Health Care Transformation Task Force – Jeff Micklos
    • Payment to Support High-Need, High-Cost Patient Care Models – Diane Stewart
    • Improving Care for High-Need, High-Cost Medicare Beneficiaries with Aetna – Greg Jones
    • Lessons from Providence Health and Services – Ginger Hines
  • Facilitated Discussion – Jeff Micklos (Facilitator), Panelists
  • Upcoming LAN Activities and Closing Comments – Mark McClellan


Listen to the LAN Learnings panel discuss high-need, high-cost patient populations and key features of successful care management programs. The presenter panel includes Jeff Micklos of Health Care Transformation Task Force, Diane Stewart from the Pacific Business Group on Health, Greg Jones of Aetna, and Ginger Hines from Providence Accountable Care Services. The presenters entertain questions and comments from the audience on challenges that may accompany building comprehensive care management programs using Medicare funding, potential best billing practices to achieve greater provider engagement in care management, and how to qualify and become a provider member of the HCTTF. Listen to the full recording and view the presentation slides.


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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