![]() Still, COVID-19 has limited options and stymied participation in value-based models, so it’s an important moment to redouble our efforts.Īmong the targets in our sights is the MACRA bonus. And some in Congress as well as within the Biden administration have named value-based care as one of the tools that can be wielded against harmfully disproportionate health care spending. GDP in 2019 and the projected insolvency of the Medicare Trust Fund gallops nearer, Medicare Shared Savings Program accountable care organizations generated $1.9 billion in net Medicare savings in 2020 (with an average quality score of 98%). Even as health care costs amounted to an eye-popping 17.7% of U.S. Not that the numbers fail to sell themselves. The week’s discussions will also include insights into our legislative advocacy strategy. Together, we’ll lay out why we must transition to value-based care, what role purchasers will play in that process and how finally escaping fee-for-service care can help address workforce and burnout challenges. You should also expect us to talk about innovation happening at the state level under Medicaid 1115 Waiver demonstrations and managed care plans.įor the larger panel, I’ll be joined by Iona Health’s Rushika Fernandopulle, M.D., M.P.P. That gives us a lot to talk about, and I’ll be asking him for examples of how his agency will use value-based models to promote these priorities. They also last year issued a set of strategic priorities for Medicaid and CHIP centered on coverage, access, equity, innovation and whole-person care. More recently, Tsai and CMS Administrator Chiquita Brooks-LaSure were among the authors of a 2021 Centers for Medicare and Medicaid Innovation report outlining a 10-year plan for value-based care. ![]() I’m eager to ask that him what lessons from that experience he’ll bring to his new federal job. Tsai was at the helm of Massachusetts’ combined Medicaid-CHIP program, MassHealth, when that system underwent a major transformation toward value-based payment while unrolling a suite of initiatives aimed at addressing social determinants of health. As I write this, I’m also preparing to interview Dan Tsai, CMS’ deputy administrator and director of the Center for Medicaid and Children’s Health Insurance Program Services, for a conversation on Medicaid reform at 10:45 a.m. I’m participating in two of the week’s keynotes, starting with a roundtable at 1:30 p.m. Specifically, greater flexibility in payment models can equal greater opportunity to address social determinants of health. We’re also bullish on value-based care as an avenue by which to reduce health disparities such as those so dramatically revealed by the pandemic. Many of the models tested so far have delivered cost savings for the Medicare program and commercial payers while allowing clinicians to offer more robust and coordinated care for their patients. The Academy and its Value Week partners believe value-based care is the most fiscally sustainable approach to health care transformation. Each day of the free program, AAFP members will be able to participate in virtual summits featuring thought leaders and government officials, as well as tune in to conversations with federal lawmakers. Our strong coalition is celebrating a record of steady progress while charting a path forward on key legislative and regulatory priorities. That’s why the AAFP, together with a diverse group of leading health industry stakeholders, is convening Health Care Value Week. To do it, we need to achieve multipayer alignment across models and more robust participation opportunities for those who care for Medicaid enrollees, including practices at all levels of experience. ![]() Broadening value-based primary care - which we know will improve quality of care, reduce costs and eliminate a range of health disparities - is a crucial transformation that will help the nation address its most intractable health care challenges across public and private programs.
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