Members of the Healthcare Leadership Council (HLC) recently held a briefing at Capitol Hill to discuss the major ways that the private sector has helped to improve delivery and payment in health care.
Leaders recently passed the Medicare Access and CHIP Reauthorization Act (MACRA). This move speeds Medicare’s progress for pay-for-value orientation. This is just one way that the health care industry has started to focus on more efficient ways to change the field into a value-based care system.
Robert Dowling, vice president of scientific affairs and policy at ION Solutions, which is an AmerisourceBergen subsidiary, gave a presentation about the ways that MACRA changes specialty providers.
Dowling emphasized that this transition into value-based reimbursement will place new pressures on specialty practices. These challenges include the Medicare Part B demonstration project and ICD-10. Tailoring payment models specifically for the specialty providers will help smooth these pressures.
Jeff Farkas, vice president of health policy and payment for Medtronic, mentioned that there isn’t a preexisting framework for value-based care space in medical technology. Bundled care offerings include optimized outcomes, which would benefit business models in efficiency and performance.
Jordan Asher, chief innovation officer at MissionPoint Health partners, an Ascension subsidiary, also highlighted that episodic care is excellent in the U.S. Despite its high standards, however, it needs to improve its attention to gaps as well as prevention-related care.
