The Medicare transition from fee-for-service to value-based payment continues.
Health and Human Services Secretary Alex Azar recently announced that the head of the CMS Center for Medicare & Medicaid Innovation (CMMI)—the office responsible for developing many new Medicare payment models, such as Accountable Care Organizations—will also serve as his senior advisor on transforming the healthcare system to a value-based system. Adam Boehler, who became head of CMMI in April, is the former CEO and founder of Landmark Health and the founder of Avalon Health Solutions. Azar says Boehler will be in charge of advancing the value-based effort.
Earlier this year, Azar identified value-based care as one of his four primary missions at HHS, along with drug pricing, health insurance, and the opioids crisis. HHS says the initiative involves changing the current system from one that pays for procedures and sickness to one that pays for outcomes and health. The primary areas of focus will be promoting health IT and interoperability, pioneering new payment models, increasing transparency in price and quality, and removing barriers, especially those impeding care coordination.