Purpose The Health Care Payment Learning & Action Network (LAN) was launched because of the need for: The Health Care Payment Learning & Action Network (LAN) was launched because of the need for better care, smarter spending, and healthier people. The LAN is about shifting away from the current fee-for-service model of payment in our health care system (where more services leads to higher payments, regardless of health outcome) to one that pays providers and hospitals for quality care and improved health. In order to achieve this, payment structures need to be shifted to quality of care over quantity of services. The LAN is a collaborative network of public and private stakeholders, working together through various groups in the health care community to create awareness. Better Care The LAN seeks to shift our health care system from the current fee-for-service payment model to a model that pays providers and hospitals for quality care and improved health. Smarter Spending In order to achieve this, we need to shift our payment structure to pay for quality of care over quantity of services. Healthier People Such alignment requires the participation of the entire health care community. The LAN is a collaborative network of public and private stakeholders.

Mission Better Care, Smarter Spending, Healthier People The LAN’s mission is to help achieve better care, smarter spending, and healthier people. The Department of Health and Human Services (HHS) is working in concert with partners in the private, public, and non-profit sectors to transform the nation’s health system to emphasize value over volume. Mission Better Care, Smarter Spending, Healthier People To accelerate the health care system’s transition to alternative payment models by combining the innovation, power, and reach of the private and public sectors.

Whether you are a patient, a provider, a business, a health plan, or a taxpayer, it is in our common interest to build a health care system that delivers better care, spends health care dollars more wisely and results in healthier people. Today’s announcement [of the launch of the LAN on March 25, 2015] is about improving the quality of care we receive when we are sick, while at the same time spending our health care dollars more wisely. Sylvia M. Burwell, Secretary- U.S. Department of Health and Human Services (HHS) HHS launched the LAN (on March 25, 2015) to help advance the work being done across sectors to increase the adoption of quality-based payments and alternative payment models. Opening remarks were made by Sylvia M. Burwell (HHS Secretary) and President Obama to participants across the health care community, who are valuable stakeholders in increasing the awareness and the adoption of the alternative payment models (APM).

Our Goal 2016 30% 2018 50% Goals for U.S. Health Care Adoption of Alternative Payment Models (APMs) 2016 30% In 2016, at least 30% of U.S. health care payments are linked to quality and value through APMs. HHS set a goal of tying at least 30 percent of Medicare fee-for-service payments to quality or value through alternative payment models by 2016 and at least 50 percent by 2018. The LAN extends those Medicare goals to the private sector and states. As a public-private effort involving diverse stakeholders across health care, to date over 6,000 individuals are participating in the LAN. 2018 50% In 2018, at least 50% of U.S. health care payments are so linked. These payment reforms are expected to demonstrate better outcomes and smarter spending for patients. Better Care, Smarter Spending, Healthier People

Develop Recommendations Operational Model Critical path to broad adoption of Alternative Payment Models (APMs) Through its activities, the LAN is about “force amplifying” successful innovations in the field in order to accelerate change. The LAN strategy involves convening the nation’s leading public and private APM experts and experienced practitioners to: Share promising practices, through webinars, interviews and blogs, and in-person Summits Establish a framework to categorize APMs and use the framework as a roadmap Develop and then road-test recommendations for increasing alignment And track the nation’s progress toward the 30 and 50% goals Establish Framework Gather Innovations Develop Recommendations Drive Alignment Demonstrate Results APM Framework Guiding Principles Leadership Groups Partnerships Research LAN Engagement Population-Based Payment Models Clinical Episode Payment Models Implementation Resources Learning & Sharing Measure & Track Progress Pilot Recommendations Action Collaboratives

Leadership Groups Providing leadership and coordination of LAN activities and priorities All payers, health care providers, employers, states, consumer groups, patients, and others are invited to participate. Participants may apply to serve on Work Groups or join Affiliated Communities, or may get involved in Affinity Groups to engage with the LAN and help increase adoption of alternative payment models and other care delivery models. Most meetings of the LAN occur virtually by teleconference or webinar. Guiding Committee Primary leadership body of the LAN. The GC meets monthly, establishes and oversees work groups, and actively engages stakeholders across the LAN. Work Groups Short-term, multi- stakeholder initiatives of 14-16 experts charged with identifying and assessing the primary barriers to adoption and outlining key steps toward the achievement of goals. Affinity Groups Venues for participants in specific sectors, such as employers/purchasers, to engage around specific topics and to identify and disseminate knowledge and best practices.

LAN has established seven groups with varying purposes. Leadership Groups LAN has established seven groups with varying purposes. Guiding Commit The LAN began in March 2015 with a kickoff event at the White House with 230 participants attending. Based on feedback generated at that event, the LAN Guiding Committee (GC) was established and had its kickoff meeting by teleconference on May 27 during which it laid out initial priorities. The GC has established Work Groups, Affinity Groups and Action Collaboratives to carry out aspects of the LAN strategy. Work Groups Payer Collaborative APM FPT APM Framework & Progress Tracking CEP Clinical Episode Payment PBP Population-Based Payment PCPM Primary Care Payment Model DI Data Infrastructure AC Action Collaboratives PRE Hub Payment Reform Evidence Hub MAC Maternity Multi- Stakeholder AC PAC Primary Care Payer AC Affinity Groups CPAG Consumer & Patient PAG Purchaser States State Engagement

Committed Partners (part 1) These organizations are recognized for establishing their own goals in support of APM adoption and sharing them with the LAN. These organizations have committed to their own specific targets that match or exceed the established goals for accelerating APM adoption. Contact the LAN if your organization would like to become a committed partner. The APM commitments of these partners can be accessed on the LAN website.

Committed Partners (part 2) These organizations are recognized for establishing their own goals in support of APM adoption and sharing them with the LAN. These organizations have committed to their own specific targets that match or exceed the established goals for accelerating APM adoption. Contact the LAN if your organization would like to become a committed partner. The APM commitments of these partners can be accessed on the LAN website.

Washington Marriott Wardman Park LAN Fall Summit October 25, 2016 Interactive Agenda Now Available! www.lansummit.org Keynote presentation from Governor Mike Leavitt Plenary on Assessing the Nation’s Progress in APM Adoption Updates from the LAN Primary Care Payment Model Work Group and the Action Collaboratives Opportunities to network with LAN leaders and other health care payment experts Discussions about real-world experience with outcomes-based payment models We hope you enjoyed the LAN Spring Summit. We had over 750 attendees, with 33 breakout and plenary sessions, and 95 speakers. Highlights included Work Group product updates, with surrounding discussions, and closing remarks from Karen DeSalvo (HHS). Registration for the LAN Fall Summit is now open. Join us on Oct 25 in Washington, DC at the Washington Marriott Wardman Park Hotel. Washington Marriott Wardman Park 2660 Woodley Rd NW, Washington, DC 20008

Upcoming Webinars LAN Updates LAN Learnings Listening Sessions Opportunities for LAN Participants to Learn, Engage and Act Here are some upcoming webinars. There are three different types of webinars: LAN Updates: A channel to release work products and/or brief on key Work Group activities LAN Learnings: A channel to learn and share information on APM promising practices and lessons learned Listening Sessions: A channel to gather input on draft products from specific stakeholders LAN Updates None currently scheduled LAN Learnings None currently scheduled Listening Sessions Nov 2: Primary Care Payment Models (Provider focused) Nov 4: Primary Care Payment Models (Payer focused)

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6,630 LAN by the Numbers 4,368 255 (Updated October 2016) 6,630 – All registered participants 4,368 – LAN Organizations 255 – LAN Leaders 255 LAN Participants LAN Organizations Number of organizations represented by LAN participants Leaders Guiding Committee, Work Group, Affinity Group, and Payer Collaborative members