Q: Do you think HHS under Rep. Tom Price, who has very distinct views about the federal government and its role, will keep the value-based payment agenda on target?
Donald Fisher: “That’s on our mind every day because we really want to move forward on this. Paying providers based on volume and intensity of service really isn’t in the patient’s best interest. You want to pay providers based on the outcomes they get and the value they provide.
“There was bipartisan support for moving to a valuebased payment. Our concern initially when the law was passed was that they were moving way too fast and it would take three to five years to get ready. We just finished a survey of our members and what we’ve seen is they’ve increased their capacity to be a valuebased reimbursement system.
“There is desire on both sides of the aisle to pay providers for getting good quality care in an efficient way. I can’t see that being rolled back. The biggest issue will be how long do they want to take to get there. If they slow it down too much, there could be a whole lot of problems that would pop up just like we’ve seen with ACOs, where they won’t be as successful as we had hoped they would be and then it will be abandoned.”