Premier joined 11 other organizations in urging House and Senate committee leaders to advance legislation to support the movement to value-based care. In a letter, Premier and the groups thank the lawmakers for including in the Consolidated Appropriations Act of 2023 a one-year extension of the advanced alternative payment model (APM) incentive payment to ensure that the nearly 300,000 clinicians in value-based models continue to have the resources they need to innovate care. Moving forward, the groups asked the committees to:
· Extend the 5 percent advanced APM incentive payments for six additional years to continue to recruit new providers into APMs, particularly specialists;
· Remove arbitrary distinctions (i.e., the high-low revenue designation in the Medicare Shared Savings Program) that penalize safety net providers, improve financial methodologies so that providers in APMs are not penalized for their own success, offer increased flexibilities through additional waivers and provide technical assistance for those newly transitioning to APMs;
· Provide a broader, more predictable pathway for more types of clinicians to engage in APMs; and
· Establish parity between APM and Medicare Advantage benchmarks.
To move the needle on value, Premier is advocating for policies in the 118th Congress that support member engagement in innovative, value-based care models like accountable care organizations (ACOs) that are improving care and achieving savings.