Ways and Means Subcommittee Holds Hearing on Value-Based Care

August 8, 2024 – The House Committee on Ways & Means Subcommittee on Health held a hearing on June 26th to consider how to improve value-based care for patients and providers.

The panel heard testimony from Main Street Health, a rural value-based care company; Coastal Carolina Health Care, an independent multispecialty medical practice and accountable care organization; and Duly Health & Care, an independent multispecialty group. General internist and Urban Institute fellow Dr. Robert Berenson also testified.

The Congressional Budget Office’s (CBO) recent report on the federal budgetary effects of the activities of the Center for Medicare and Medicaid Innovation (the Innovation Center) was the subject of much discussion. CBO estimates that CMMI increased direct spending by $5.4 billion between 2011 and 2020, while of the more than 50 models tested by the Innovation Center, only six generated statistically significant savings and only four were certified for expansion.

The was bipartisan agreement around the need to improve the performance of the Innovation Center, with lawmakers and witnesses discussing the current barriers to participation in value-based care, like regulatory and administrative burdens, as well as the elements necessary for a successful value-based payment model.

Available Resources

• Health Subcommittee Hearing on Improving Value-Based Care for Patients and Providers
• Congressional Budget Office: Federal Budgetary Effects of the Activities of the Center for Medicare & Medicaid Innovation