CMS-10620 Informational Questions

Generic Clearance for the Heath Care Payment Learning and Action Network (CMS-10575)

5. LAN_2019 Informational Questions_Final

Tracking the adoption of alternative payment models (CMS-10620)

OMB: 0938-1297

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LAN APM Measurement

Informational Questions for 2019 Measurement Effort

Finalized on 2/14/2019



Questions

Response Options

From health plan’s perspective, what do you think will be the trend in APMs over the next 24 months?

  • APM activity will increase

  • APM activity will stay the same

  • APM activity will decrease

  • Not sure

[To those who answered APM activity will increase] Which APM subcategory do you think will increase the most in activity over the next 24 months?

  • Traditional shared savings, utilization-based shared savings (3A)

  • Fee-for-service-based shared risk, procedure-based bundled/episode payments (3B)

  • Condition-specific population-based payments, condition-specific bundled/episode payments (4A)

  • Full or percent of premium population-based payments, population-based payments that are not condition-specific (4B)

  • Integrated finance and delivery system payments(4C)

  • Not sure

[To those who answered APM activity will decrease] Which APM subcategory do you think will decrease the most in activity over the next 24 months?

  • Traditional shared savings, utilization-based shared savings (3A)

  • Fee-for-service-based shared risk, procedure-based bundled/episode payments (3B)

  • Condition-specific population-based payments, condition-specific bundled/episode payments (4A)

  • Full or percent of premium population-based payments, population-based payments that are not condition-specific (4B)

  • Integrated finance and delivery system payments (4C)

  • Not sure

From health plan’s perspective, what are the top barriers to APM adoption? (Select up to 3)

  • Provider interest/readiness

  • Health plan interest/readiness

  • Purchaser interest/readiness

  • Government influence

  • Provider ability to operationalize

  • Health plan ability to operationalize

  • Provider willingness to take on financial risk

  • Interoperability

  • Market factors

  • Other (please list)

From health plan’s perspective, what are the top facilitators to APM adoption? (Select up to 3)

  • Provider interest/readiness

  • Health plan interest/readiness

  • Purchaser interest/readiness

  • Government influence

  • Provider ability to operationalize

  • Health plan ability to operationalize

  • Provider willingness to take on financial risk

  • Interoperability

  • Market factors

  • Other (please list)

From health plan's perspective, please indicate to what extent you agree, disagree that APM adoption will result in each of the following outcomes:

  • Better quality care (strongly disagree, disagree, agree, strongly agree, not sure)

  • More affordable care (strongly disagree, disagree, agree, strongly agree, not sure)

  • Improved care coordination (strongly disagree, disagree, agree, strongly agree, not sure)

  • More consolidation among health care providers (strongly disagree, disagree, agree, strongly agree, not sure)

  • Higher unit prices for discreet services (strongly disagree, disagree, agree, strongly agree, not sure)

  • Other (please list) (strongly disagree, disagree, agree, strongly agree, not sure)



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