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Date(s) - Thursday, November 05, 2015, 8:30 AM - 4:00 PM

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Objectives for the Meeting

  • Get to know each other and establish our working relationship
  • Gain consensus on how the Work Group and sprints will operate
  • Initiate work on patient attribution and financial benchmarking


  • Welcome, Introductions, and Opening Comments – Dana Safran, Glenn Steele, Anne Gauthier
  • Work Group Operating Norms – Glenn Steele
    • Organizing into sprints to accomplish the work
    • Expectations for Work Group timeframe and type of work products
    • Review next step: Work Group charter development and approval
  • Patient Attribution Sprint – Dana Safran
    • Set context-definition and importance
    • Validate and refine Sprint objectives
    • Develop scope assumptions and guidelines
    • Clarify target user of Sprint work product
  • Financial Benchmarking Sprint – Glenn Steele
    • Set context-definition and importance
    • Develop scope-what’s in and what’s out
    • Validate and refine Sprint objectives
    • Clarify target user of Sprint work product
  • Sprint Working Sessions (Break-out Groups) – Dana Safran, Glenn Steele
    • Start with the end in mind: Outline the final work product
    • Agree on key inputs: Identify inventory to build on
    • How to get there: Identify inventory to build on
    • How to get there: Develop work approach
    • Considerations for engaging broader audiences
  • Sprint Reports Outs – Sprint Leads, Dana Safran, Glenn Steele
    • Patient Attribution Report to Work Group
    • Financial Benchmarking Report to Work Group
    • Discussion
  • MACRA and PBP Models – Hoangmai Pham
  • Next Steps and Wrap-Up – Glenn Steele, Anne Gauthier
    • Recap next steps
    • Review and refine delivery timeline
    • Plan for sharing meeting notes and summary
    • Review logistics for next work group meetings
    • Collect meeting feedback


On November 5, 2015, the HCP-LAN Population-Based Payment (PBP) Work Group (WG) of the Health Care Payment Learning and Action Network (LAN) met in McLean, Virginia to establish a working relationship, gain consensus on how the WG will operate, and begin their work together. The Work Group is focused on identifying the most effective way to align the nation’s payer and provider efforts around PBP models that support better health outcomes at lower costs. PBP WG co-chairs Dana Safran, ScD, and Glenn Steele, MD, presented the group’s operating norms and led the day’s discussion.

The PBP WG launched two ‘sprints’ to quickly complete core tasks in a short time period. Four sprints are scheduled for this work group over the next six months. Two of the four were launched at this meeting, addressing two key aspects of population based payment models: patient attribution, the method by which patients are assigned to a provider, and financial benchmarking, the system for measuring financial performance through setting a baseline and target. These first two sprints will be completed by January 2016.

Ms. Anne Gauthier, LAN Project Leader, highlighted the LAN’s commitment to transparency, along with the role of the LAN Guiding Committee (GC) and of the Centers for Medicare & Medicaid Services (CMS) Alliance to Modernize Healthcare (CAMH) as an independent convener. Ms. Gauthier emphasized that the LAN will not be making policy recommendations to CMS.

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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