Alternative Payment Model Measurement Implementation Manual

On January 22, 2020, Governor Lamont signed Executive Order No. 5 directing the Office of Health Strategy (OHS) to monitor the adoption of alternative payment models (APMs). During the 2022 legislative session, §§217-223 of Public Act 22-118 codified Executive Order No. 5’s provisions into law. The primary goal of tracking total dollars paid through APMs is to monitor the progress of healthcare organizations in shifting from traditional fee-for-service payment models to more value-based approaches. The adoption of APMs is a critical component of the broader shift towards value-based care, which aims to improve patient outcomes and reduce growth in overall healthcare costs. By accurately tracking and reporting APM-related payments, plans can contribute to a better understanding of the adoption of these models and help identify areas for improvement and further expansion.

This manual contains the technical and operational procedures that OHS will employ to assess the adoption of APMs. This manual also provides technical specifications for data reporting and collection.

ALTERNATIVE PAYMENT MODEL IMPLEMENTATION MANUAL

ALTERNATIVE PAYMENT MODEL DATA SUBMISSION TEMPLATE