What is the learning and action network?

What is the learning and action network?

A Learning and Action Network is an improvement initiative that brings together health care professionals, patients and other stakeholders around an evidence-based agenda to achieve rapid, widescale improvement.

What is the HCP LAN?

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).

What is APM model?

An Alternative Payment Model (APM) is a payment approach that gives added incentive payments to provide high-quality and cost-efficient care. APMs can apply to a specific clinical condition, a care episode, or a population.

What is a value based payment model?

Value Based Payment (VBP) is a concept by which purchasers of health care (government, employers, and consumers) and payers (public and private) hold the health care delivery system at large (physicians and other providers, hospitals, etc.) accountable for both quality and cost of care.

What is value based reimbursement healthcare?

Value-based care reimburses healthcare providers based on the quality of care they provide, rather than providing payment for each test or procedure. Value-based care incentivizes the quality of patient care over quantity, outcome-based reimbursement is the goal, benefiting both the patient and the provider.

Who is eligible for APM?

Have a diagnosed injury, illness or disability. Are aged at least 14 to 65. Are at or above the minimum legal working age in your state or territory. Are able to work at least eight hours per week (with support when required)

What is quadruple aim?

Introduction. In 2014, the Quadruple Aim—adapted from the widely-accepted Triple Aim [1]—was suggested as a framework to optimize healthcare system performance. The framework encompasses reducing costs, improving population health and patient experience, with a new fourth domain: healthcare team well-being [2].

Who benefits the most from value-based reimbursement?

Perhaps the primary way patients benefit from value-based care is that they will experience better health outcomes, not just in one isolated area of illness, but across the full spectrum of comorbidities and side effects that accompany their illness.

What factors are part of the CMS value-based programs?

What measures are used in the Hospital VBP Program?

• Mortality and complications.
• Healthcare-associated infections.
• Patient safety.
• Patient experience.
• Efficiency and cost reduction.

Is MSSP an APM?

A common example of an APM is a Medicare Shared Savings Plan (MSSP) also known as an Accountable Care Organization (ACO).