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Date/Time
Date(s) - Tuesday, November 24, 2015, 4:00 PM - 5:00 PM

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Objectives for the Meeting

  • Work Group discussion on areas of agreement and open discussion:
    • Patient Attribution
    • Financial Benchmarking

Agenda

  • Welcome and Roll Call – Dana Safran, Glenn Steele
  • Patient Attribution
    • Agreement and Discussion items, presentation  by Amy Nguyen
  • Open Discussion
    • Facilitated by Amy Nguyen
  • Financial Benchmarking
    • Agreement and Discussion items, presentation by Michael Chernew
  • Open Discussion
    • Facilitated by Michael Chernew
  • Summary and Next Steps – Glenn Steele

Summary

On November 24, the PBP Work Group met virtually to discuss two key components of population-based payment models: patient attribution and financial benchmarking. Participants discussed an approach to patient attribution that starts with patient choice or attestation, followed methods to identify patient visits with a primary care provider responsible for overall care coordination. This is important to help improve health outcomes for patients, with patient attribution linking the patient to a provider group accountable for overall care management and the cost of care. Also highlighted was the importance of overall transparency throughout the patient attribution process. Participants also discussed principles within a voluntary PBP model that includes setting the initial financial benchmark based on historic provider group costs and local market forces and updating the financial benchmark by moving toward a regional benchmark. The Work Group will be presenting key recommendations to the LAN Guiding Committee and is developing a white paper to highlight important findings.

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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