About Us

Slide About the LAN

What is the Health Care Payment Learning & Action Network?

The Health Care Payment Learning & Action Network (HCPLAN, or LAN) is an active group of public and private health care leaders dedicated to providing thought leadership, strategic direction, and ongoing support to accelerate our care system’s adoption of alternative payment models (APMs). The LAN mobilizes payers, providers, purchasers, patients, product manufacturers, policymakers, and others in a shared mission to lower care costs, improve patient experiences and outcomes, reduce the barriers to APM participation, and promote shared accountability.

Since 2015, health care stakeholders have relied on the LAN to align them around core APM design components, host forums and summits to share information and inspire action, build consensus among leaders, and measure the progress of APM adoption. The LAN will continue to be a trusted partner that connects the public and private sectors, identifies and shares best practices, and guides the field in rapidly moving to value-based payment.

Accelerate the percentage of US health care payments tied to quality
and value in each market segment through the adoption of two-sided
risk alternative payment models.

 

The APM Framework is the LAN’s landmark contribution to health care payment transformation via APMs. It captures a continuum of clinical and financial risks for provider organizations across four payment categories.

Stakeholders can use the Framework to:

  • Assist patient advocacy groups in understanding the context behind plan and benefit design, and in participating in decisions about how to design payment plans and delivery systems.
  • Help providers understand the payment reforms underway, assess their current status, and plan future reforms.
  • Drive payer models and track spending and the distribution of members/beneficiaries and providers.
  • Facilitate purchasers in educating their employees about the health insurance landscape and sharing information for population-based plans.

At least thirteen states and the District of Columbia are using the Framework to track spending in Medicaid managed care contracts, and many require payers to meet spending targets in Categories 2 through 4.

   Launched the Roadmap for Driving High
   Performance in APMs

  • Promote the adoption of high-performing, value-based payment models by identifying APMs that meet meaningful goals related to cost and quality
  • Identify the most promising practices
  • Developed a guide (the APM Roadmap) for payers to create and implement high-performing APMs

   Conducted Annual Measurement of the
   Health Care Payment Landscape

  • Produced data that tracked the steady increase in the adoption of APMs across public and private payers
  • For 2018, health care payments by Framework category were:
    • Category 1 (FFS), 39.1%
    • Category 2 (FFS plus quality and value), 25.1%
    • Categories 3 (APMs) and 4 (population-based payment), 35.8%

   Seven National Summits and Multiple
   Web-based Learnings

  • Convened meetings of thousands of health professionals to share lessons learned and promising practices in innovations in payment reform, implementation tactics, and public/private collaboration efforts

  • Health care professionals include payers, purchasers, consumer and patient advocates, state agency and Medicaid representatives, federal agency representatives, and national policymakers

Created a Large Portfolio of Resources

  • White papers and informational graphics
  • Resources on population-based payment, clinical episode payment, data sharing, and primary care payment reform that stakeholders can use to facilitate APM adoption

Facilitated Two National Forums for Stakeholders to Develop Real-world Solutions to APM Design and Other Implementation Challenges

  • The Primary Care Payer Action Collaborative (PAC) convened payers involved in multi-payer primary care APMs and created the Primary Care Payer Action Collaborative Resource Bank, full of useful sources to help payers operationalize alternatives to fee-for-service payment
  • The Multi-Stakeholder Maternity Care Action Collaborative (MAC) convened stakeholders across the maternity care system to learn about proven strategies for designing and implementing episode payment models for maternity care. The MAC led to the development of the Maternity Episode Payment Online Resource Bank, a one-stop-shop for maternity APMs, including information on making the business case for maternity APMs and lessons learned.