Major Providers, Payers Set Their Own Value-Based Goals

An alliance of some of the country's biggest health systems and payers announced a significant commitment to value-based reimbursement models by the year 2020.

The news comes on the heels of the Department of Health and Human Services' own announced commitment to value-based reimbursement models. The alliance, which includes large for profit and non health systems such as Trinity Health, Ascension Health, Partners Health, and Providence Health and Sevices, as well as large payers such as Aetna, is committing to putting 75 percent of their businesses into a value-based arrangements by the year 2020. The alliance includes six of the nation’s top 15 health systems and four of the top 25 health insurers.

“The formation of this Task Force and its ambitious goal demonstrate that the private sector embraces a value-based approach to improving care and lowering costs,” Richard J. Gilfillan, M.D., CEO of Trinity Health, the Task Force’s chairman, said in a statement. “We are committed to rapid, measurable change both for ourselves and our country that will improve quality and make health care more accessible for all American families.”

The Health Care Transformation Task Force, as it is being called, is planning to work collaboratively to shape policy and program recommendations for the private sector, the Centers for Medicare & Medicaid Services (CMS), Congress and others. Their first take centers on fixing the accountable care organization (ACO) model, developing common bundled payment framework, and improving care for high-cost patients.  

The task force members include: 

Health Care Transformation Task Force Members

Providers

Advocate Health Care

Aledade, Inc.

Ascension

Atrius Health

Dartmouth-Hitchcock Health

Dignity Health

Heritage Provider Network

Optum

OSF HealthCare

Partners HealthCare (Massachusetts)

Premier, Inc.

Providence Health & Services

SCL Health

SSM Health

Trinity Health

Tucson Medical Center Healthcare

Payers

Aetna  

Blue Cross Blue Shield of Massachusetts

Blue Shield of California

Health Care Service Corporation 

Purchasers

Caesar's Entertainment, Inc.

Pacific Business Group on Health

 Patients and Families

National Partnership for Women & Families

Partners, Policy Experts and Others

Mark McClellan, Brookings Institution

Dartmouth Institute for Health Policy and Clinical Practice

Chris Dawe, Evolent Health

PatientPing

Remedy Partners