Task Force Comments on LAN Coronary Artery Disease White Paper

The Task Force supports innovative, person-centered, valued-based payment models. We applaud the Work Group’s bold step forward with proposing this type of broad-based bundle, and agree that patients may benefit greatly from comprehensive management of coronary artery disease. However, we are unable to support the proposed CAD framework at this time. Our members found the proposal to be not completely developed and difficult to evaluate fully, and therefore challenging to support. Also, given the considerable complexities and comorbidities associated with CAD patients, there was uncertainty about the appropriate APM to manage this medical condition. There was a widely-held sentiment that the elements and definitions related to this type of bundle may be more conducive to a population health management approach.

With regard to the context of the current draft, we provided recommended refinements to following the CAD bundle design elements

1. Episode Definition
2. Episode Timing
3. Patient Population and Transparency in Episode Creation
4. Patient Engagement
5. The Importance of an Accountable Entity
6. Type and Level of Risk
7. Quality Metrics

Read the letter for more information on the recommended refinements to the Coronary Artery Disease White Paper.


Read the letter here


Letter submitted on June 20, 2016