Letters to Trump – Continue Focus on Value-Based Payment

Posted on April 12, 2017 by Dr. David Edward Marcinko MBA MEd CMP™

Two Letters to Trump from Healthcare Leaders – Continue Focus on Value-Based Payment

By Robert James Cimasi MHA CMP™

Health Capital Consultants, Inc

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In December 2016 and January 2017, over 100 leading healthcare organizations sent two letters to President Donald Trump and Vice President Michael Pence lobbying the Trump Administration to continue the shift in healthcare reimbursement from volume-based to value-based payment models.
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The expansion of the number and scope of value-based reimbursement programs following the 2010 passage of the Patient Protection and Affordable Care Act (ACA) is in keeping with the national strategy regarding healthcare reimbursement in the landmark legislation; most notably the fourth priority established by the ACA, i.e., to “…improve Federal payment policy to emphasize quality and efficiency…“
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However, in light of the criticism of many in the Trump Administration regarding value-based reimbursement models, most notably Tom Price, M.D., the Secretary of the U.S. Department of Health and Human Services (HHS), many healthcare delivery organizations felt compelled to advocate for continued implementation of such payment systems, and acted by sending the above referred letters to the new administration.
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Assessment
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This Health Capital Topics article summarizes the contents of those two letters received by the Trump Administration, and discusses how this advocacy fits into the current uncertainty surrounding healthcare reform. (Read more…) 

Conclusion

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2 Responses

  1. Mindy, on May 23, 2017 at 6:33 PM said:

    Kelly Gooch: High-Performing Practices Plan Their Shift to Value-Based Care, 5 Takeaways

    1. More than half (56%) of high-performing practices have a plan for the shift to value-based care, the study found. This compares to 32% of falling behind practices.
    2. 53% of high-performing practices also strive to earn a full or partial Medicare Access and CHIP Reauthorization Act incentive this year. This compares with only 35% of falling behind practices.
    3. When it comes to adopting new technologies, high-performing practices are twice as likely to do so than falling behind practices.
    4. The study found more than 66% of high-performing practices embraced patient portals.
    5. More than 80% of high-performing practices survey patients and use online review sites, compared to almost 50% of falling behind practices.

    Source: Becker’s Hospital Review

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  2. Earl, on December 19, 2017 at 10:48 AM said:

    59% of Medicare Revenue Expected To Be Risk-Based by 2019

    AMGA recently polled its members regarding their transition from fee-for-service (FFS) to value-based reimbursements. Here are some key findings from the report:

    • Medicare FFS payments are expected to decrease by 17% by 2019.
    • AMGA members expect 59% of Medicare revenues to be risk-based by 2019.
    • Commercial FFS payments are expected to decline by 11% by 2019.
    • 56% have little/no access to commercial risk products in their markets.
    • In 2017, 35% of federal revenue was fee-for-service.
    • 71% of commercial revenue was FFS in 2017.

    Source: AMGA, December 2017

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