In the absence of federal legislation, states are actively seeking tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states to stabilize their health insurance marketplace. SHVS is tracking state activity and has many resources, including a template, for states interested in pursuing a Section 1332 waiver.
Categorizing Value-Based Payment Models According to the LAN
Many state purchasers are referring to the Health Care Payment and Learning Action Network (LAN) Alternative Payment Models (APM) Framework when measuring and assessing health plan progress towards APM requirements. Megan Burns from Bailit Health highlights findings from an upcoming State Health and Value Strategies resource for states, Categorizing Value-Based Payment Models According to the LAN Alternative Payment Model Framework: Examples of Payment Models by Category. The webinar provides real-world examples of what types of payment models fit within the LAN categories. Kat Latet, Manager, Health System Innovation at Community Health Plan of Washington participates and discusses the development and categorization of their APM.