On October 30, 2017 the Learning & Action Network (LAN) released a report showing that 29% of total U.S. health care payments were tied to alternative payment models (APMs) in 2016 compared to 23% in 2015, an increase of six percentage points.
The report was based on a survey collecting data from over 80 participants, accounting for nearly 245.4 million people, or 84%, of the covered U.S. population. Specifically, the LAN found:
- 43% of health care dollars were tied to traditional FFS or other legacy payments not linked to quality
- 28% of health care dollars were tied to pay-for-performance or care coordination fees
- 29% of health care dollars were tied to shared savings, shared risk, bundled payments, or population-based payments
The report is available here.
The LAN, launched in March 2015 by the U.S. Department of Health and Human Services, convenes the public, private, and non-profit sectors to drive adoption and alignment of APMs. The LAN has adopted the goal of tying 50% of U.S. health care payments to APMs by the end of 2018. For more information, go to www.hcp-lan.org.
For more information on the CMS Quality Payment Program visit the McDermottPlus MACRA Resource Center or contact Sheila Madhani at 202-204-1459, firstname.lastname@example.org.