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Medicare Value Act: Easier Participation for Doctors, Better Coordinated Care.

This law aims to make it easier for doctors and hospitals to join Medicare programs that reward quality care and cost savings, rather than the volume of services provided. The changes reduce financial risk for new participants and mandate support for providers in rural areas, ultimately promoting more coordinated and efficient healthcare for beneficiaries. Citizens can expect more of their providers to participate in care coordination models.
Key points
Healthcare providers (ACOs) get a 3-year grace period before they must assume financial responsibility for potential losses in Medicare savings programs, encouraging wider participation.
Rules for calculating savings targets (benchmarks) are made fairer and more transparent, ensuring successful providers are not penalized for achieving efficiency.
Specific technical assistance and support are required for medical facilities operating in rural or underserved areas to improve access to coordinated care models.
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Additional Information
Value in Health Care Act of 2023
Print number: S 3503
Sponsor: Sen. Whitehouse, Sheldon [D-RI]
Process start date: 2023-12-13