President-elect Donald Trump's healthcare plan repeals the Affordable Care Act and would target the value-based initiatives along with it. According to a HealthData Management report, there has been bipartisan support for change in healthcare reimbursement and adding a value-based component as an alternative to fee-for-service.
The value-based payment models, such as ACOs and bundled payments, have had mixed results so far. CMS heads multiple initiatives, including the Pioneer ACOs and the Comprehensive Care for Joint Replacements program, implemented to reduce healthcare expenditures.
The Republican Party also holds both houses of Congress, which could slow any progress toward value-based care, Premier's Blair Childs said in the HealthData Management report. GOP lawmakers have been concerned about the "pace of change" and whether government agencies should require participation in CMS' demonstration projects.
The Center for Medicare and Medicaid Innovation is tasked with moving value-based care initiatives forward, but Congress could reduce its role and requirements for participation could change.
However, Mr. Childs argued hospitals and healthcare providers will still move toward value-based care due to the increased aging population and need to curtail rising healthcare spending.
Both Mr. Childs and Advisory Board's Eric Cragun, who also contributed to the article, believe the ACA won't be repealed despite Mr. Trump and the GOP's insistence otherwise.