Shaping the Strategic Direction of Value-Based Care through Alignment, Action, and Change, with Drs. Mark McClellan, Alice Chen, and Judy Zerzan-Thul

As leaders in value-based care, we seek improved and equitable health outcomes that result in overall lower total cost of care. We must look at this from a system level, and this is where learning and collaboration comes into play between both the public and private sectors. In this episode, we engage three nationally recognized physician leaders doing just that in their work to accelerate value-based care in the United States!

This episode of Enabling Health Value features the three Executive Forum Co-Chairs of The Health Care Payment Learning & Action Network (HCP-LAN):

  • Dr. Mark McClellan is the Director for the Duke-Margolis Institute for Health Policy and former administrator of CMS.
  • Dr. Alice Chen is the Chief Health Officer of Centene Corporation.
  • Dr. Judy Zerzan-Thul is the Chief Medical Officer for the Washington State Health Care Authority.

In their executive leadership of the HCP-LAN, our guests are shaping the strategic direction for value-based care in the U.S.  Listen to this interview to learn more about the state of accountable care, how to scale health equity, and the power of collaboration to advance whole-person care.

Make sure to register for the upcoming HCP-LAN Summit at https://hcplansummit.org/.

Bookmarks:

02:00     What is the Health Care Payment Learning & Action Network (HCP-LAN)?

02:30     Introduction to HCP-LAN Executive Forum Chairs (Drs. Mark McClellanAlice Hm Chen, and Judy Zerzan-Thul)

03:45     The HCP-LAN’s Goals of Achieving Accountable Care by 2030

04:30     The annual HCP-LAN Measurement Effort – what percentage of payments are flowing through APMs?

05:30     Dr. McClellan provides an update on where the country I in advancing accountable care and value-based payments.

06:30     Advanced APM adoption (i.e. downside risk) has been increasing in recent years.

07:00     Connecting prospective payment to programs and interventions not supported under FFS.

07:30     The HCP-LAN has expanded efforts beyond payment reform to other critical components that enable accountable care.

09:00     Collaboration across federal government programs, states, and various private sector efforts.

09:30     Dr. Chen discusses the need for cross sector collaboration in accountable care and the urgency to address escalating costs.

10:30     Dr. Zerzan-Thul provides perspective on how the LAN Measurement Effort can be used for benchmarking at a local level.

11:45     The HCP-LAN will soon release new guidance highlighting best practices to scale health equity through APM contracts.

12:30     Success stories in integrating equity strategy: BCBS of Massachusetts, Arkansas BCBS, Covered California.

13:30     Dr. Chen discusses the importance of data collection related to race, ethnicity, language, sexual orientation, and gender identity.

14:00     Establishing basic quality improvement and population health management capabilities.

14:30     Dr. Zerzan-Thul on the importance of partnering with CBOs and the alignment of data collection practices with payment incentives.

16:00     The Accountable Care Action Collaborative (ACAC) as a forum to increase collaboration and alignment across key stakeholder groups.

17:30     Dr. McClellan on building powerful stakeholder collaboratives to explore best practices in health equity.

18:30     Dr. Chen on the importance of aligned leadership and communities (like the HCP-LAN) to advance momentum in the value movement.

20:30     The Health Equity Advisory Team (HEAT) was established to design APMs that prioritize opportunities to advance equity.

21:00     Measuring APM success more holistically through Social Return on Investment.

21:30     Dr. Zerzan-Thul discusses how a Social ROI framework can be used to assess the performance of healthcare programs.

22:45     Dr. Chen on how Social ROI has been more routinely utilized in the Medicaid space.

23:30     Dr. McClellan on state-level Medicaid struggles and how we should look to exemplars (e.g. Integrated Care for Kids).

26:30     Dr. McClellan on the importance of multi-stakeholder alignment to support scaled adoption of APM design elements.

28:00     State Transformation Collaboratives at the HCP-LAN.

30:00     Achieving consistency in data standards and quality measurement across different payer contracts.

30:30     Aligning Quality Measures Across CMS – the Universal Foundation.

31:00     State-level collaboration in measure alignment (ex: MediCal, Covered California, and CalPERs)

33:00     The importance of alignment in the alleviation of administrative burden and the advancement of health.

34:00     The myth that other stakeholders will not be receptive to collaboration.

35:30     The Person Perspectives Council provides guidance on whole-person care by prioritizing the views of the general public.

36:30     Dr. Zerzan-Thul on how the HCP-LAN supports the general public priorities of affordability, access, and experience.

37:45     Dr. McClellan on the LAN’s work involve in translating patient perspectives into directional strategies for health policy.

39:45     The need to get away from the term “value-based care” and focus more on what really matters to patients.

42:30     Register for the upcoming HCP-LAN Summit on November 14th, 2024 in Baltimore (free to attend in-person or virtually!)

43:00     Dr. McClellan provides an extensive overview of the upcoming HCP-LAN Summit.

46:00     The summit agenda covers post-election impact on VBC, multipayer alignment, updates from CMMI, progress towards FHIR-based APIs, etc.