House hearing examines barriers to value-based care

Sep 14, 2018 - 02:58 PM

The House Energy and Commerce Health Subcommittee yesterday held a hearing examining legal and regulatory barriers to innovation and value-based care in Medicare. Nishant Anand, M.D., chief medical officer for Adventist Health System and chairman of its accountable care organization, said barriers to effectively redesigning care delivery include the physician self-referral (or Stark) law, which he called “a minefield” due to its “huge financial penalty risks” and unclear provisions; misaligned payment incentives in valued-based models; and barriers to the interoperability of electronic health record data. Also testifying at the hearing were representatives from the National Association of ACOs, Digestive Health Physicians Association, Healthcare Leadership Council, App Association and Call9. 
 

Related News Articles

Headline
KFF analysis highlights limited physician access in Medicare Advantage plans
A new report from KFF reveals that Medicare Advantage enrollees had access to just 48% of the physicians available to Traditional Medicare beneficiaries in…
Headline
AHA shares concerns, recommendations with CMS on WISeR model
The AHA Oct. 23 recommended changes to the Centers for Medicare & Medicaid Services’ Wasteful and Inappropriate Services Reduction model to address…
Headline
CMS releases guide on prior authorization submissions, determinations under WISeR model  
The Centers for Medicare & Medicaid Services has released an operational guide for Medicare-enrolled providers and suppliers on the Wasteful and…
Headline
OIG says MA, Medicaid managed care plans have limited, inaccurate behavioral health provider networks 
A report by the Department of Health and Human Services Office of the Inspector General found that many Medicare Advantage and Medicaid managed care plans…
Headline
Medicare open enrollment for 2026 begins
Medicare open enrollment for 2026 began Oct. 15 and runs through Dec. 7. During the annual enrollment period, Medicare-eligible individuals can check their…
Headline
AHA encourages MedPAC to refine analysis of MA enrollment impacts on patients, providers
The AHA Oct. 3 responded to the Medicare Payment Advisory Commission’s recent analysis on the financial impacts of Medicare Advantage enrollment growth on…