CAPP Urges Policymakers to Continue to Support Value-Based Health Care Payment Models
New Primer Outlines Roadmap to Pay-For-Value
While recent health care debates have focused on potential changes to insurance coverage, the CAPP report urges policymakers to keep value-based payment at the top of their health policy agendas.
“Value-based payment systems hold providers accountable for improving people’s health, not simply doing more procedures,” noted CAPP Chairman
The current health care payment shift away from fee-for-service to value-based payment includes models such as medical homes, bundled payment, Accountable Care Organizations (ACOs), and capitation such as in Medicare Advantage plans. These models reward health care providers for producing specific outcomes, versus merely delivering a service. Many of these models encourage providers to be wise stewards of resources and invest in new ways to deliver more evidence-based care that is safer and more convenient for patients.
Policymakers can take steps to push for value-based payment systems, including global capitation that places more financial risk on providers by moving toward an ACO model with at least some risk to provide incentives for outcomes and investing in innovation. To help coordinate bundled payment programs, the report suggests that the
Other recommendations for policymakers include continuing to support and grow Medicare Advantage; making it easier for patients to choose high-value providers; and allowing and encouraging payment experimentation.
The report urges policymakers to continue to support value-based payment programs through these steps:
- Quickening the pace to expand existing programs
- Convening stakeholders to align bundled payment models
- Continuing to address administrative issues in accountable care organizations (ACOs)
- Focusing on two-sided risk models
- Helping consumers make informed choices
- Encouraging innovative ideas from stakeholders.
Read the primer here.
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