AHIP is the national association that represents health insurance plans that provide coverage, services, and solutions for over 205 million Americans through employer-sponsored insurance, the individual insurance market, and public programs such as Medicare and Medicaid.
Health plans are committed to moving the health care system from volume to value. Through financial incentives and other methods, value-based care programs aim to hold providers more accountable for improving patient outcomes while also giving them greater flexibility to deliver the right care at the right time. Patients deserve a health care system centered around their needs and focused first and foremost on delivering affordable, evidence-based care that works. Health insurance plans are working in partnership with physician organizations, hospitals, and other important stakeholders to move toward a health care system that puts patients at the center.
We appreciate the Subcommittee’s interest in advancing health care models that incentivize providers to focus on the quality of services delivered. Medicare Advantage (MA) serves an important role in advancing value-based care, and we believe the recommendations outlined below will accelerate the move to value-based care and that learnings from MA can inform the development of value-based care initiatives in other programs and markets.