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Healthcare groups tell Trump, Pence not to abandon value-based transition

Groups including Adventist Health System, Cleveland Clinic, Dartmouth-Hitchcock tell administration that these models should be expanded, not cut.

Beth Jones Sanborn, Managing Editor

A lengthy list of healthcare providers, insurance companies and other organizations on Wednesday sent a letter to President Donald Trump and Vice President Mike Pence asking the new administration not to put the brakes on value-based reimbursement.

"Now is not the time for policymakers to signal a shift away from value-based care, either through action or inaction," the groups wrote.

In the letter, the organizations point to nearly two decades of "bipartisan leadership" that has helped begin the transition to value, the most recent example being the passage of the Medicare Access and CHIP Reauthorization Act, also known as MACRA.

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The organizations said that the alignment of both the public and private sectors around the transition has succeeded in improving quality, reducing costs and fostering innovation.

Adventist Health System, Aetna, American Medical Association, Cleveland Clinic, Dartmouth-Hitchcock, Dignity Health, McKesson Corp., Methodist Health System, Premier and the National Rural Health Association are just a few of the organizations named in the letter.

Acknowledging that the new administration will make changes to healthcare policy, the groups offered to partner with the Trump administration to develop a "modernized, sustainable healthcare system." The groups stressed the importance of empowering and engaging patients to use information and support from their care teams to make healthcare decisions. They also said it is necessary to develop provider performance measures that are relevant to patients and are "consistently and transparently reported" by public and private payers.

Clinician and provider access to complete and accurate claims data should be a priority as well in enabling improved care management, the groups said.

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But payment models should be a major focus since they provide a good return on investment while supporting high-value services at lower costs, they said. Rather than scaling them back, the groups said they want to see these models that incentivize care and financial collaboration between healthcare and long-term care providers, payers and clinicians expanded.

Policymakers also need to recognize how socioeconomic status of a patient can create challenges in providing care, and provider payments should be adjusted to reflect that, they said. Expanding use of waivers for fee-for-service legal and regulatory requirements that hinder collaboration and shared accountability, incentivizing access to medical innovations and ensuring the alignment of private and public sector programs is needed.

"We look forward to taking the next steps to reach and surpass the tipping point where value-based healthcare becomes a sustainable marketplace for generations of Americans to come," the groups said.

Twitter: @BethJSanborn