The Health Care Payment Learning & Action Network features successful multi-payer alignment initiatives that states can adapt.
The Health Care Payment Learning & Action Network (LAN) highlighted the California Advanced Primary Care Initiative in its recent Multi-Payer Alignment Blueprint. The initiative drives alignment for investment in primary care that helps physicians achieve financial stability while supporting quality outcomes and advancing health equity. The Purchaser Business Group on Health’s (PBGH) California Quality Collaborative (CQC) and IHA lead the initiative, which has voluntary support from six large payers who have agreed to work together through 2025 to increase investment in and access to advanced primary care.
The LAN’s Blueprint also details the foundational work to support multi-payer alignment in primary care in California in recent years, including CQC’s and IHA’s statewide technical assistance program that ran from 2016-2019 and other initiatives to identify and reward primary care practices that provide advanced primary care.
The Blueprint also highlights IHA’s partnership with Covered California, RAND, and the California Health Care Foundation to assess primary care spending and health outcomes. These efforts led to a collaboration between CQC, IHA, and payer and provider organizations to design shared standards for advanced primary care attributes, measures, and common payment models, which culminated in the creation of an Advanced Primary Care Measure Set and six payers voluntarily committing to the initiative. The Blueprint’s feature on the initiative spotlights the potential of a voluntary commitment rooted in a shared vision for improving the health of Californians through increased access to advanced primary care.
The LAN is a group of public and private healthcare leaders dedicated to accelerating the adoption of alternative payment models to achieve better health outcomes, equity, and affordability.
Check out LAN’s Multi-Payer Alignment Blueprint, which showcases the California Advanced Primary Care Initiative on page 44.