Business Group Blog

Moving From Volume to Value in Maternity Care

With the uncertainty the election has caused for the future of current government programs that are reforming the health care system, it is extremely important that employers keep accelerating the move from paying for volume to paying for value. What can you do to ensure these efforts continue?

You can help the Business Group by supporting The Health Care Payment Learning and Action Network (LAN), an initiative launched by the Department of Health and Human Services in 2015 to align stakeholders across sectors in moving payment from traditional fee-for-service (FFS) methods to ones linked to quality and alternative payment models (APMs). The LAN has developed recommendations for designing APMs and will offer results-oriented forums for sharing, integrating, and collaboratively applying new knowledge and tailored solutions to organizations seeking to accelerate implementation of APMs.

The LAN’s next initiative will focus on providing support and resources to drive improvement in maternity care outcomes via episode payments. The Maternity Multi-Stakeholder Action Cooperative (MAC) is composed of stakeholders that have committed to implementing maternity care episode payments based on a set of person-centered recommendations. The maternity episode would be defined as all needed services and care delivered from prenatal, labor and birth, and postpartum as shown in the timeline below.

Maternity Episode of Care

This approach seeks to pay for the types of services that correlate with increased and more effective use of preventive services, lower C-section rates, lower readmission and complication rates, and lower early elective birth rates—all things that help women and their babies to thrive.

The MAC is looking for passionate employers who are interested in helping shape the future of maternity care. Contact Action Collaborative Lead Tanya Alteras for more information or to discuss how your organization can engage in this work.

Register for the LAN to engage in LAN discussions, attend webinars, access resources, submit comments on white papers, attend stakeholder meetings, and to stay up-to-date on the latest information. 

 

Resources:

LAN Summit   Accountable Care Organization Journey map

“We strongly encourage you to get engaged in the dialogue and use your voice to influence how the massive checks your company writes to carriers will hold providers accountable.”

- Sally Welborn, Walmart

Member, HCPLAN Guiding Committee

Read Sally’s blog about the LAN.