CORRECTING and REPLACING Healthcare Leaders to Congress and Administration: Improve the Value-Based Care Movement
Clinicians, employers, hospitals, pharmacists, consumer groups and insurance providers coalesce around 10 key policy principles to support a modernized, sustainable healthcare system
The corrected release reads:
HEALTHCARE LEADERS TO CONGRESS AND ADMINISTRATION: IMPROVE THE VALUE-BASED CARE MOVEMENT
Clinicians, employers, hospitals, pharmacists, consumer groups and insurance providers coalesce around 10 key policy principles to support a modernized, sustainable healthcare system
In a letter to
The bipartisan journey toward value-based care began more than 15 years ago with pay for performance, bundled payment and accountable care organization (ACO) models. Healthcare providers, clinicians and insurers have invested significantly in moving healthcare in this direction. Policy changes and payment model improvements are critical to strengthen and expand on this movement, which is starting to generate results. For instance, Medicare ACOs have collectively generated
“I am confident that the migration toward value-based care will continue regardless of what happens in the next few months,” said the Honorable
As policymakers debate the direction of federal healthcare policy, signers of the letter recommended 10 principles to build momentum behind value-based care and shift incentives away from a reactive healthcare system to one that is centered on the patient’s health, high-quality and cost-effective care. Supporters include the
10 policy principles to improve the value-based care movement
- Empower and engage patients to make healthcare decisions with information and support from their healthcare team.
- Invest in engaging patients in the development of measures of provider performance that are relevant to them and consistently and transparently reported by all public and private payers.
- Improve clinician and provider access to timely, accurate and complete claims data to better facilitate care management.
- Recognize that the socioeconomic status of many patients creates challenges in providing care, and adjust payments to providers as appropriate.
- Design voluntary payment models that incent greater participation and achieve the highest quality and cost value based on patient choice and competitive markets.
- Expand the use of waivers from fee-for-service legal and regulatory requirements that impede collaboration and shared accountability, while preserving consumer protections and safeguards against fraud.
- Build on and expand payment models that promote collaborative financial and care coordination arrangements using incentives that align payers, healthcare providers, providers of long-term care services and clinicians.
- Appropriately incent access to medical innovations and treatments that hold the potential to improve quality of care and reduce overall system cost.
- Promote public and private investment in the transparent, evidence-based testing and scaling of new alternative payment models as directed in MACRA so that clinicians, other healthcare providers and payers can learn how payment models work and evolve in the clinical setting.
- Ensure alignment between private and public sector programs, which is critical to a sustainable value-based payment marketplace.
“As a purpose-driven organization, Aurora Health Care is committed to improving the health and well-being of the people and communities we serve in eastern Wisconsin,” said
“Our member organizations have committed to moving 75 percent of their business to value-based models by 2020, a move that has required a significant investment and planning,” said
In support of the 10 principles, the sponsoring organizations are hosting an educational briefing on value-based care today at
“Through value-based models like the Perioperative Surgical Home, we are better managing care before, during and after a surgical procedure,” said
“Despite all that we’ve managed to do, healthcare is increasingly unaffordable – for families, for businesses and for taxpayers. Even in the relatively stable employer-sponsored insurance market, deductibles are climbing and the average premium for a family plan has topped
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Theresa Hill, [email protected]
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