Cost-share chart The latestreport on health care payments shows “additional opportunities toincrease payments through episode- and population-based paymentsthat have additional risk.” (Image: Shutterstock)

According to a report from the Learning & Action Network,launched in March of 2015 by the U.S. Department of Health andHuman Services, health care payments tied to alternative payment models—shared savings,shared risk, bundled payments and population-basedpayments—have risen at a steady pace from 23 percent over atwo-year span to 34 percent of total U.S. healthcare payments in 2017.

High-level findings from the report indicate the breakdown ofhealth care dollars within the four categories of the LAN's Refreshed APM Framework, with 41 percentof health care dollars in Category 1 (Fee-for-Service—No Link to Quality &Value); 25 percent in Category 2 (Fee-for-Service—Link to Quality& Value); and 34 percent in Categories 3 (APMs Built onFee-for-Service Architecture) and 4 (Population-Based Payment).

Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.

  • Critical BenefitsPRO information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
  • Exclusive discounts on ALM, BenefitsPRO magazine and events
  • Access to other award-winning ALM websites including and

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.

Marlene Satter

Marlene Y. Satter has worked in and written about the financial industry for decades.