Policymakers
Policymakers play a key role in the transition to a value-based health care delivery system. Many older laws and regulations that attempted to prevent fraud and abuse in the fee-for-service system, are outdated in a value-based system.
Creating a Value-Based Health Care Delivery System: Implications for Policymakers
- Reduce regulatory obstacles to care coordination and integration across the care cycle like the Stark and anti-kickback laws, HIPAA, and EMTALA
- Create a national framework of health care outcome registries and a path to universal measurement and public reporting
- Link reimbursement to clinical performance using outcome reporting
- Set accounting standards for meaningful cost reporting in health care
- Accelerate the bundled pricing rollout schedule in CMS
- Introduce minimum volume standards by medical condition for hospitals and providers
- Encourage rural providers to affiliate with qualifying centers of excellence for more complex care and fully integrate telemedicine in care networks by eliminating state-based licencing requirements for providers
- Set standards for common data definitions, interoperability, and the ability to easily extract outcome, process, and costing measures for qualifying HIT systems