Value-based payment models may grow in 2018 January 8, 2018
Citing the fact that independent physicians are the “lynchpin” of the healthcare system, a number of provider advocates recently submitted a letter to the Centers for Medicare & Medicaid Services (CMS), advocating for more opportunities for those physicians.
Advocates participating in the effort included the American Academy of Family Physicians (AAFP), Aledade, ChenMed, CAPG, Iora Health, the Medical Group Management Association (MGMA), and the Texas Medical Association. The letter, sent to CMS Administrator Seema Verma on December 14, urges CMS to “expand opportunities for physicians and physician-led groups to take financial responsibility for their patients.”
The group of advocates believe that physicians are well positioned to be rewarded based on the value of the care they provide to their patients. Higher-risk value-based payment models mean that independent physicians have a better financial opportunity as their patients enjoy higher quality care.
Specifically, the letter to CMS Administrator Verma encourages the organization to:
- Prioritize physician-led advanced alternative payment models (AAPMs), including physician-led accountable care organizations (ACOs) and other approaches to achieve improved outcomes for patients, great value, and the preservation of independent clinical practice.
- Establish a level playing field within local markets, promoting patient choice and competition.
- Re-inject competition into Medicare Advantage markets by lowering barriers to entry by physician led groups.
- Support consumer-directed care through models that encourage beneficiaries to participate in their own health care decision-making, and to be rewarded for doing so.
The group concluded the letter by indicating that they look forward to working with CMS on implementing and testing “models that continue to put physicians where they should be – at the center of our health care system.”
Elation Health will continue to monitor the progress of the advocates’ effort and report to concerned independent physicians on any updates with CMS. Elation is always focused on strengthening the relationship between patients and physicians, and enabling phenomenal care for everyone.