Leading Health Groups Urge Congress to Maintain Value-based Care Incentives Beyond COVID-19

WASHINGTON — Nineteen leading healthcare organizations today called on Congressional leaders to ensure that providers who put themselves at financial risk to deliver better quality, closely coordinated and more cost-effective care continue to have strong incentives to engage in advanced value-based care models.

In enacting the bipartisan Medicare Access and CHIP Reauthorization Act (MACRA), Congress established a bonus to encourage providers to participate in Advanced Alternative Payment Models (APMs) where they shoulder a significant level of financial risk and are accountable for the quality of care. Clinicians that achieve threshold levels of payments or patients through Advanced APMs are eligible to earn a 5 percent Medicare bonus payment.