President Donald Trump has already begun the process of repealing the Affordable Care Act, known as Obamacare, by signing an executive order that allows certain government officials and entities to begin the process of dismantling the law.
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Some health IT experts have said that they believe, despite Trump’s mission to repeal Obamacare, the effort towards value-based care will remain largely untouched. These experts explained that this is because regulations like the Medicare Access and CHIP Reauthorization Act (MACRA), which pushes healthcare towards value-based care, received strong bipartisan support when Congress approved the law in 2015.
However, it seems some major healthcare organizations are concerned about the future of value-based care. On January 25, the groups—including the American Hospital Association, the American Medical Association, Blue Cross Blue Shield and others—sent a letter to President Trump and other political leaders urging them to accelerate the transition from fee-for-service to value-based care, not impede it.
In the letter, the healthcare organizations outlined 10 principles for value-based care:
- 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 perform 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 incentivize more 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 incentivize access to medical innovations and treatments that could improve quality of care and reduce overall system cost
- Promote public and private investment in the 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.
- Ensure alignment between private and public sector programs, which is important to a value-based payment marketplace.