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Date(s) - Monday, December 14, 2015, 11:00 AM - 12:30 PM

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Objectives for the Meeting

  • Review the work of individual sprints
  • Comment on the draft patient attribution paper
  • Discuss recommendations for financial benchmarking


  • Welcome and Meeting Overview – Dana Safran, Glenn Steele
  • Review patient attribution white paper – Amy Nguyen
  • Discuss patient attribution graphics – Amy Nguyen
  • Review recommendations on updates to financial benchmarks – Michael Chernew
  • Review recommendations on risk adjustment – Michael Chernew
  • Wrap-Up – Dana Safran, Chris Izui
    • Recap themes
    • Discuss next steps – discuss listening session


On December 14, the PBP Work Group met virtually to review draft recommendations and to consider outstanding issues from the group’s financial benchmarking and patient attribution sprints. Participants discussed the need to start with regional benchmarks because input prices are different in different areas of the country. Participants also discussed challenges in achieving financial benchmarking “convergence,” meaning that over time benchmarks are the same after adjusting for patient risk, input prices, and potentially, quality.

The Work Group also discussed the importance of benchmark risk adjustment, allowing data to be modified to control for variations in patient populations. Next, the patient attribution sprint presented highlights from its draft white paper, providing consensus perspectives for effective patient attribution in PBP models. This document will include a discussion of the potential benefits for patients in a PBP model, and the value of patient attribution to patients and other stakeholders. In keeping with the LAN’s mandate for transparency and inclusion, input on the work products of both sprints will be sought from key stakeholders before finalizing any white papers.

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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