Data sought to measure move to value-based pay
The White House’s effort to quantify the nation’s progress on converting to alternative payment models is about to kick off with a gathering of heavy hitters in the healthcare industry.
Dr. Sam Nussbaum, a former vice president and chief medical officer at Anthem, and Dr. Mark McClellan, a former head of the CMS and the Food and Drug Administration who is now a Duke University professor, are among those leading the Health Care Payment Learning and Action Network.
At a two-day summit in Tysons, Va., this week, network members will have the difficult task of trying to recruit public and private health plans to provide data. Their goal is to have 200 to 300 payers provide and categorize their payments, aggregate that data with that of other payers, and identify any major differences in the adoption of alternative payment models, or APMs, among commercial, Medicaid managed care and Medicare Advantage plans.
“The results of this effort will help the (network) assess progress toward its goal of 30% adoption of APMs by 2016 and 50% by 2018 for the U.S. health system,” according to a recent blog co-written by Nussbaum and McClellan.
The CMS has pledged to push half of its more than $300 billion in annual Medicare fee-for-service spending into contracts with incentives to manage quality and costs by 2018.
Actual data collection will begin in May and the eight-week quantitative data survey will run from May 16 to July 8.