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

Perspective
Hospital Outpatient Departments Are Different from Independent Physician Offices
Public
Every health care provider strives to deliver their patients the best possible care, but not all providers offer the same level or complexity of care. Current…
Headline
Study: MA beneficiaries’ hospital stays longer than those under Traditional Medicare
A JAMA internal medicine study published Sept. 8 found that since the COVID-19 pandemic, Medicare Advantage beneficiaries have been experiencing longer…
Headline
Study finds less than 40% of Medicare beneficiaries with OUD receive standard care
A Health Affairs study published Sept. 2 found that less than 40% of Medicare beneficiaries with opioid use disorder received standard care in alignment with…
Headline
AHA study finds HOPDs treat sicker patients than independent physician offices
The AHA Sept. 3 released a study conducted by KNG Health Consulting that found Medicare patients who receive care in a hospital outpatient department are more…
Headline
AHA praises legislation extending incentive payments for Medicare Advanced Alternative Payment Models
The AHA Aug. 28 expressed support for the Preserving Patient Access to Accountable Care Act in comments to House and Senate sponsors of the bill. The…
Headline
HHS, CMS to form committee providing federal health program recommendations
The Department of Health and Human Services and the Centers for Medicare & Medicaid Services Aug. 21 announced the creation of a Healthcare Advisory…