By
Jeff Micklos
March 1, 2017 at 5:00 am ET
As factions war over the future of the Affordable Care Act, the only visible consensus is that change is necessary to ensure that consumers have access to affordable care that puts the patients’ needs above all else. As the debate over “repeal and replace” rages in Washington, payers and providers, working with employers and patients, are working toward their own market-based solutions.
The status quo of fee for service health care benefits no one in the long-term. That’s why the members of the Health Care Transformation Task Force, an industry consortium that brings together patients, payers, providers and purchasers to align private and public sector efforts to transform the U.S. health care system, is not tinkering with fee-for-service payment models, it is advocating a new paradigm of innovative value-based payment and care delivery. This model reconciles what many consider competing values: access, affordability and a patient focus. To understand the transformative nature of value-based models, these are the five things policymakers and patients should know:
While these points are important to understanding the benefits of value-based payment models, what must be underscored is that these models can rise above the partisan fight. Politicians can have their cake and eat it too. Value-based care offers a consensus framework for the payment and delivery of care that realigns incentives so that patients truly come first.
For almost two decades, the federal government has played an important role to accelerate the transformation to value-based payment. As the Trump Administration and Congress seek to deliver on the promise of affordable and accessible health care, they should stay the course on value-based payment. They will find willing private-sector partners who have made significant investments in a value-based future, and are working hard to fulfill its promise.
Many organizations are nearing the tipping point for realizing sustainable change, but unless the government sends a positive signal of support for continued transformation, continued changes in the delivery of health care that improve cost and quality may slow or stop. That’s a future we can’t afford.
Jeff Micklos is the Executive Director of the Healthcare Transformation Task Force.
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