Fee-for-Service

Policy Definition: As outlined in the Health Care Learning & Action Network Advancement Payment Model Framework, fee-for-service is a payment model based on volume of services and not linked to quality of care or efficiency. source

Value Based Care

Policy Definition: As outlined in the Health Care Learning & Action Network Advancement Payment Model Framework, fee-for-service with linkage to quality and value bases a portion of payments on the quality or efficiency of healthcare delivery. source

Alternative Payment Models

Policy Definition: As outlined in the Health Care Learning & Action Network Advancement Payment Model Framework, Alternative Payment Models (APM) are payments that are linked to the effective management of a segment of the population or an episode of care. These payments are triggered by delivery services but have opportunities for shared savings or downside risk. source

Population Based Payments

Policy Definition: As outlined in the Health Care Learning & Action Network Advancement Payment Model Framework, population based payments are payments that are not triggered by service delivery, and therefore, not linked to volume. Providers are paid and responsible for the care of a beneficiary for an extended period of time. source