Will the 2016 Election have an Impact on Value-Based Healthcare Programs?


November 17, 2016

The regulation that ushered in the Value Based Healthcare (VBHC) transition, in a coordinated effort, is the Patient Protection and Affordable Care Act(PPACA), commonly called the Affordable Care Act(ACA) or Obamacare. With the election, we have a transition of administrative power causing many to be concerned about the future of VBHC. 

You might recall the Value Based Healthcare Goals were to achieve the following objectives:

  1. Improve patient outcomes
  2. Reduce Cost of Care
  3. Produce healthier populations

On this week's MLN Connections Call, Andy Slavitt, acting Administrator at the Centers for Medicare and Medicaid, shared his opinion that the industry would continue the transition to VBHC regardless of the "repeal and replace" campaign promise. I happen to agree with Andy that the move to VBHC will continue to transition the healthcare industry regardless of the new Administration's actions. Here are my thoughts:

  1. Cost savings - healthcare in the USA is too expensive for the outcomes. The cost is simply not sustainable. We must develop a more efficient and effective system. 
  2. Value Based Strategies are utilized by both public and privately funded payers. CMS is not the only player in the space. Bundled and cost-limiting scheme have been around for decades. Same concept - new labels.

Advice: Stay the course

Take a pause and assess your current progress. If you have a solid foundation, continue to build on your progress by refining your processes, reducing costs, and improving patient outcomes. 

New to the Initiative?

Just getting started by jumping in and double down on the strategy development. Start by assembling the right roles to explore the concept and current gaps.

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