AMGA Hosts Congressional Briefing on Value-Based Reimbursement

Provider Tools Needed to Achieve Success in New Payment Models


Contact:Sharon GraceVice President of Public Relations(703) 838-0033, ext. 393sgrace@amga.org

April 7, 2016

AMGA Hosts Congressional Briefing on Value-Based ReimbursementProvider Tools Needed to Achieve Success in New Payment ModelsNewswise — Alexandria, VA – AMGA today hosted a congressional briefing on the new payment mechanisms included in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). During the session, AMGA recommended steps Congress should take to ensure the law’s implementation represents lawmakers’ vision and goals for value-based reimbursement.

In May 2015, AMGA conducted a survey of its membership to better understand the readiness of multispecialty medical groups and integrated delivery systems to transition to risk, the impediments to taking financial risk, and the tools Congress needs to provide for healthcare professionals to succeed. At the briefing, a panel of AMGA members discussed the survey and provided their insight to congressional staff on how their organizations are preparing for the law’s new reimbursement structures.

“Providing quality care at increased value to Medicare and other payors is not new for AMGA members,” said Chet Speed, J.D., LL.M., AMGA’s Vice President of Public Policy. “The challenge moving forward will be navigating the complexities of a reimbursement system that is still being developed. Today’s panel discussion demonstrates how AMGA and its members are leading the effort to improve the quality and cost-effectiveness of the care delivered across the healthcare system and how to succeed in a post-SGR world.”

The panel featured three AMGA members:

• J. Stephen Jones, M.D., President at Cleveland Clinic Regional Hospitals and Family Health Centers (Cleveland, OH)• Scott Hines, M.D., Chief Quality Officer and Medical Director at Crystal Run Healthcare (Middletown, NY)• Aric Sharp, M.H.A., Vice President of Accountable Care at UnityPoint Health (West Des Moines, IA)

The panel emphasized that providers need certain tools to attain success in the new payment models. Data submission, reporting, and feedback must be standardized so that providers have actionable information in order to make informed choices about patient care. The panelists also cited the need for full access to claims data and improved attribution and risk-adjustment methodologies.

About AMGAAMGA is a 501(c)(6) trade association representing medical groups, health systems, and other organized systems of care, including some of the nation's largest, most prestigious integrated delivery systems. AMGA is a leading voice in advocating for efficient, team-based, and accountable care. AMGA members encompass all models of organized systems of care in the healthcare industry, including: physician-owned, independent group practices, integrated delivery systems, hospital-affiliated medical groups, independent practice associations (IPAs), academic and faculty practices, accountable care organizations, and high-performing health systems. Approximately 177,000 physicians practice in AMGA member organizations, providing healthcare services for 133 million patients (approximately one in three Americans). Headquartered in Alexandria, Virginia, AMGA is the strategic partner for these organizations, providing a comprehensive package of benefits, including political advocacy, educational and networking programs, publications, benchmarking data services, and financial and operations assistance. www.amga.org

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