Health Care Payment Learning and Action Network

The Health Care Payment Learning and Action Network (LAN) is a group of public and private health care leaders dedicated to providing thought leadership, strategic direction, and ongoing support to accelerate our health care system’s adoption of alternative payment models (APMs). It was launched by U.S. Department of Health and Human Services (through CMS) in March 2015 to align with public and private sector stakeholders in shifting away from the current FFS, volume-based payment system to one that pays for high-quality care and improved health. The LAN mobilizes a network of over 7,000 payers, providers, purchasers, patients, product manufacturers, policymakers, and others in a shared mission to promote APMs and reduce the barriers to APM participation, as ways to lower care costs and improve patient experiences and outcomes.

  • For more information or to participate in the LAN, please visit the LAN website.
  • Sign up for the LAN newsletter to receive updates and engagement opportunities.

Key Initiatives

APM Framework

In order to transform our healthcare system, a critical mass of payers, purchasers, providers, and other stakeholders must first adopt, track, and report progress on the same goal of moving towards value-based APMs. The LAN’s APM Framework establishes a common nomenclature for defining and tracking US health care payments, as well as classifies APMs into four categories and eight subcategories, specifying decision rules to standardize classification efforts. It lays out core principles for designing APMs, which have influenced payers and purchasers, and forms the basis of the LAN’s annual APM Measurement Effort.

Annual APM Measurement Effort

The LAN conducts a national assessment every year to measure the growing adoption of APMs over time and track progress towards the LAN’s goals. The Measurement Effort has evolved to incorporate data from a large sample of payers that represent nearly 80% of covered Americans, and serves as the most comprehensive snapshot available for measuring progress on payment reform. In 2018, the LAN began reporting payment data by line of business—Commercial, Medicaid, Medicare Advantage, and Traditional Medicare. These APM measurement findings are shared publicly at the annual Fall LAN Summit.

  • Explore prior year Measurement Effort results, and view past reports, dating back to 2015, to track year-over-year progress in APM adoption.
  • Review APM measurement findings that are shared at the annual Fall LAN Summit.

2019 LAN Goal Statement

The LAN established new goals at the October 2019 LAN Summit aimed at accelerating adoption of two-sided risk APMs to address currently unsustainable rates of health care spending.

Healthcare Payment Learning and Action Network (LAN) graphic

The variation in the percentages by line of business recognizes that different markets and lines of business are progressing at different rates.

When the LAN established new goals, it also formed a new structure with two Executive Forums, the CEO Forum and the Care Transformation Forum. The Forums drive the leadership and vision of the LAN.

Healthcare Resiliency Collaborative

The COVID-19 Public Health Emergency (PHE) revealed to the LAN a need for a healthcare payment system that can respond adequately in a pandemic and support population health. Recognizing this need, the LAN launched the Healthcare Resiliency Collaborative to articulate and commit to short and long term actions to achieve a responsive and resilient healthcare system that achieves better patient outcomes, equity, quality, affordability, and accessibility at reduced total cost of care.

Health Equity Advisory Team (HEAT)

As a public-private partnership, the LAN recognizes that APM design and implementation must intentionally address factors that drive health inequities. The LAN has established the Health Equity Advisory Team (HEAT) to address health equity and support health system resiliency by identifying and prioritizing opportunities to advance health equity through APMs. It is comprised of a diverse team of regional and national implementers and health equity subject matter experts.

  • Learn more about HEAT
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