releases: https://lahood.house.gov/2021/7/lahood-delbene-wenstrup-welch-introduce-bipartisan-legislation-to-incentivize-value-based-health-care
Data license: MIT · Data source: dwillis/congress-press
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| https://lahood.house.gov/2021/7/lahood-delbene-wenstrup-welch-introduce-bipartisan-legislation-to-incentivize-value-based-health-care | LaHood, DelBene, Wenstrup, Welch Introduce Bipartisan Legislation to Incentivize Value-Based Health Care | 2021-07-20 | 2021 | 2021-07 | Republican | House | IL | Darin LaHood | L000585 | lahood.house.gov | lahood | https://lahood.house.gov/press-releases | scraper | Washington, D.C. – Today, Representatives Darin LaHood (IL-18), Suzan DelBene (WA-01), Peter Welch (VT-At-large), and Brad Wenstrup (OH-02) reintroduced the Value in Health Care Act, a bipartisan bill that will make commonsense changes to the program parameters of Medicare’s Alternative Payment Models (APMs). The changes will increase participation in these value-based health programs that are designed to improve the quality of care and health outcomes for seniors while lowering costs. In 2017, a U.S. Health and Human Services Inspector General report found that 98 percent of Accountable Care Organizations (ACO), after participating for three years, met or exceeded quality measures and outperformed regular fee-for-service providers on 81 percent of quality measures. However, in 2019, after changes were implemented to the ACO program, fewer providers participated for the first time since its inception in 2012. In 2019, ACOs participating in Medicare’s ACO program achieved their highest annual savings since the program’s start in 2012, producing $1.4 billion in net savings. Since 2012, ACOs have saved Medicare a net $2.5 billion. The Value in Health Care Act would make the following changes to the APM and ACO parameters: Encourages participation in the Medicare ACO program by increasing the percent of shared savings beginner participants receive. Program changes under the previous administration decreased shared savings, making the program less attractive. Modifies risk adjustment to be more realistic and better reflect factors participants encounter like health and other risk variables in their communities. Removes barriers to ACO participation by eliminating arbitrary program distinctions so all participants are participating on a level playing field. Supports fair and accurate benchmarks by modifying performance metrics so participants aren’t competing against their own successes in providing better care. Provides greater technical support to ACO participants to cover the significant startup costs associated with program participation. Incentivizes participation in Advanced APMs by extending the annual lump sum participation bonus for an additional six years. Corrects arbitrary thresholds for Advanced APM qualification to better reflect the existing progress of the value-based movement and to encourage bringing more patients into this model of care. Addresses overlap in value-based care programs so that APM overlap within markets complement each other rather than cause confusion. Sheds light on healthy equity by directing the GAO to study health outcomes of seniors assigned to ACOs compared to seniors in regular fee-for-service. “The Value in Healthcare Act is a commonsense proposal that includes substantive reforms to encourage and support greater participation by healthcare providers in ACO’s, particularly in our rural communities in central and west-central Illinois,” said Rep. LaHood. “By incentivizing the use of these value-based health models that support coordinated care between doctors, hospitals, and other healthcare providers, this legislation will improve healthcare access and the quality of care for seniors and patients across my district, which is critical as we recover from COVID-19.” | 1 | 2026-03-30T01:40:41Z | 2026-04-06T20:03:51Z |