4.19.2023 Board Book

Action Network (HCP-LAN), a framework that categorizes payment models by increasing the level of accountability and risk-sharing. Alternative payment models have played an important role in elevating the treatment of chronic conditions (such as hypertension and type 2 diabetes) by clinicians and enabling the delivery of care through payment incentives. APMs can play a similar role in catalyzing high-quality care for obesity. • Design and testing of value-based payment models for obesity treatment and support can follow the incremental path already seen in U.S. provider payment reform; an incremental pathway to models of outcomes-based payment and provider-payer risk sharing, for example. • Looking ahead: patient-payer-provider-policy maker collaboration is needed to establish standards of care, and validated process and outcome measures that will support delivery of value-based obesity treatment and support. Obesity-related measures must be prioritized by standards organizations, (the National Committee on Quality Assurance (NCQA), the National Quality Forum (NQF), and others). Clini cian-friendly capabilities to document, monitor and report on validated measures need to be developed in parallel: user-friendly adaptations in electronic health records, for example. This will require an investment of time and money that may only be incentivized by the promise of a pathway to value-based reimbursement.

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Envisioning Value-based Provider Payment for Obesity Treatment and Support