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Alternative payment models and the slowdown in federal health care spending: testimony before the Committee on the Budget, United States Senate
Alternative payment models and the slowdown in federal health care spending: testimony before the Committee on the Budget, United States Senate
Because ACOs voluntarily assume responsibility for the quality and costs of care for a defined group of patients, they have the potential to reduce unnecessary care, improve care coordination and patients’ health, and reduce spending. Health care providers participating in ACOs or other value-based payment arrangements receive financial incentives to improve the efficiency and quality of care. Such incentives contrast with those found in Medicare’s fee-for-service program, in which separate payments are generally made for each encounter or service delivered. Reimbursing on a fee-for-service basis tends to create incentives for providers to deliver additional and more-complex services, potentially contributing to the high costs and uneven quality of health care. CMMI’s goal is to identify approaches that reduce spending or improve the quality of care. To do so, it operates models that test new ways to deliver and pay for health care, including models that establish value-based payment arrangements with providers.
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