The Health Care Transformation Task Force, a consortium that represents patients, payers, providers and purchasers working to accelerate the pace of U.S. health care delivery system transformation, called on the incoming Trump-Pence Administration and Congress to continue aligning public and private efforts to replace fee-for-service payments for health care services with value-based alternatives. Evolent Health joined the letter as a Task Force member and is proud to be among the ranks of the organizations accelerating the transformation to value-based care.
“The Task Force strongly urges the new Administration and Congress to affirm their support for the transition to value-based care that reduces cost, improves quality, and more sharply focuses on patient needs…and to urge the industry to continue its important evolution to a modern payment and care delivery system that provides high value, affordable health care through a competitive marketplace,” the Task Force said in a letter to the President and Vice President-elect, the nominees for Secretary of Health and Human Services and Administrator of the Centers for Medicare & Medicaid Services (CMS), and congressional leaders. “Given the significant industry investment and strong progress to date, we urge the new Administration and Congress to send signals of support and encouragement so this transition can be sustained.
“This is not the time for policymakers to waiver or reverse course, which would send a negative message to the industry and chill ongoing transformation efforts.”
The letter reflects the consensus of the Task Force’s 43 member organizations (both for-profit and not-for-profit) and individuals, which include six of the nation’s top 15 health systems and four of the top 25 health insurers, as well as leading national organizations representing employers, patients and their families, and the policy community. As a leading private sector, multi-stakeholder consortium, the Task Force is committed to payment reforms that promote a competitive marketplace for value-based health care and allow health care organizations to transition from a system that rewards volume of services to one that rewards value of care. Task Force payer and provider members are committed to transitioning 75 percent of their business to value-based payment models by 2020, and by the end of 2015 had achieved 41 percent.
Significant efforts are underway, led by the private sector in combination with ongoing efforts at CMS, to change this reality, with positive results starting to be realized. “While not fully scaled, the new payment models have made great progress in promoting transparency, reducing cost and improving quality. Many organizations are nearing the tipping point for realizing permanent change. In recent years, the moderation of the rate of Medicare spending increases reflects that the transformation investments are producing a desirable return.”
The letter notes that the transition to value-based payments falls squarely within bipartisan efforts to contain health care costs, which generally exceed general inflation. “No other single policy initiative holds more promise to moderate entitlement spending and to free up needed discretionary resources for other national priorities, like infrastructure and defense,” said Jeff Micklos, executive director of the Task Force.
The move to payment reform and value-based care—also referred to as delivery system reform—has been underway with bipartisan support for more than a decade in response to market demands. Policymakers have long recognized the need to invest in a modernized health care infrastructure, through successive Republican and Democratic administrations and both Democratic- and Republican-controlled Congresses. The 2015 passage of the Medicare Access and CHIP Reauthorization Act (MACRA) with strong bipartisan support accelerated this momentum by modernizing the way Medicare will pay for physician services to focus on value over volume.
“The Task Force stands ready to be a resource and work with you on these important issues, including sharing the private sector progress made to date and how the sustainability of a truly value-based care delivery system is within reach. We believe these shared learnings, experiences, and initial successes are persuasive for policymakers to continue partnering with industry to help the American health care system reach this important and necessary goal.”
About the Author
Chris Dawe is Evolent's Senior Vice President, Medicare Partnerships. He works to align public policy initiatives with our efforts to differentiate provider-led health plan solutions and works with Evolent’s clients in a leadership and subject matter expert capacity. Chris has served as Policy Advisor for Health Care at the National Economic Council at the White House; the Director of Delivery System Reform at the Department of Health and Human Services; and as a Professional Staff Member for the Senate Finance Committee. Chris played a pivotal role in the design and implementation of health care reform including the development of multiple provisions of the ACA (the Medicare Shared Savings (ACO) Program and the CMS Innovation Center). Chris also developed the Meaningful Use provisions of the Health Information Technology for Economic and Clinical Health Act of 2009. Before coming to Washington, Chris worked in the business planning group at Partners Healthcare in Boston.More Content by Chris Dawe