The public comment period is now open through March 7th on the LANs draft White Paper on Attribution. Attribution is a critical component of performance reporting and alternative payment models and the LAN has proposed some recommendations on how to better align nationally.
The NRHI Total Cost of Care (TCoC) project team examined attribution as part of the pilot project, and currently, there are two TCoC project team members who have been named to the National Quality Forum (NQF) Attribution Committee (pending confirmation). Given their previous work examining attribution, NRHI is working with the TCoC project team members to prepare comments on the white paper.
The draft white paper titled Accelerating and Aligning Population-Based Payment Models: Patient Attribution describes the method by which patient populations are assigned to providers who are accountable for total cost of care and quality outcomes for their designated populations in a PBP model. The paper recommends that active, intentional identification or self-reporting by patients should be considered first. The paper also outlines nine additional recommendations that payers and providers can use when making decisions on attribution in their PBP models.