Succeeding in Advanced Alternative Payment Models

Description: This resource describes the competencies that providers must systematically master to thrive within each Health Care Payment Learning Action Network (LAN) category. At the very least, all alternative payment models (APMs) necessitate providers to achieve performance targets related to quality metrics. As providers advance to a LAN Category 3 APM, they must possess the capability to exert a positive influence across the entire care continuum, extending beyond their direct services. The progression to a LAN Category 4 signifies a significant paradigm shift, as revenue is no longer tied to fee-for-service reimbursement. Success now hinges on delivering the most timely and convenient access to services in the most cost-effective setting, facilitated by the most cost-effective member of the care team, regardless of their status as a “billable” provider.

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