Healthcare Economist December 17, 2021
Health Care Payment Learning and Action Network (HCP LAN) is dedicated to moving the health care system from volume-based, fee-for-service reimbursement, to alternative payment models (APM). While there are a large number of different types of APMs, broadly, all of them shift more financial risk to providers while also linking reimbursement to quality of care. In fact, HCP LAN has the goal of having 100% of reimbursements for traditional Medicare and Medicare Advantage fall under two-sided risk APMs and 50% of commercial and Medicaid reimbursements fall-under two-sided risk APMs by 2025.
HCP LAN defines APMs as falling under one of four types:
In their 2020-2021 report titled APM Measurement: Progress of Alternative Payment Models, HCP LAN uses data from 2019...
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