The Health Care Transformation Task Force and the National Association of ACOs Suggest Ways to Improve Patient Engagement in Value-Based Care
WASHINGTON (July 18, 2024) – The Health Care Transformation Task Force (HCTTF) and the National Association of ACOs (NAACOS) today released a resource addressing how policies can be improved to better support patients’ experience in value-based care arrangements. This comprehensive white paper presents recommendations aimed at strengthening patient engagement in accountable care organizations (ACOs), care delivery redesign, and individual care planning, with a particular focus on Medicare ACOs.
Unlike the traditional fee-for-service (FFS) system, ACOs are designed to prioritize care coordination and preventive care and focus on keeping patients healthy and out of the hospital, leading to improved outcomes and a better patient experience. However, many patients are unaware of their participation in ACOs and the potential benefits. Often for patients, ACO policies add complexity and confusion instead of aiding understanding and collaboration.
In response to these challenges, this resource presents short and long-term recommendations including:
- Remove the current one-size-fits-all approach to ACOs’ communications with beneficiaries.
- Work to expand and align waivers that provide direct benefits to beneficiaries.
- Ensure ACOs have adequate guidance to solicit beneficiary input and feedback, establish community partnerships, and incorporate these perspectives into their work.
“Effective patient engagement is paramount to the success of ACOs,” said Jeff Micklos, HCTTF Executive Director. “These recommendations strengthen Medicare policies to ensure that beneficiaries are fully aware of and can benefit from these innovative care models.”
“By adopting these recommendations, CMS can remove barriers that hinder more effective patient communication and engagement,” said Aisha Pittman, Senior Vice President of Government Affairs at NAACOS. “This will pave the way for a better patient experience and improved outcomes, which are goals of value-based care.”
“Streamlining communication and engagement policies will not only benefit beneficiaries in Medicare ACOs but will also set a precedent for all value-based care models striving to advance person-centered care,” said Sinsi Hernández-Cancio, Vice President for Health Justice at the National Partnership for Women & Families. “ACOs should engage with patients as active partners, and our recommendations are a step toward making that a reality.”
“ACOs are committed to improving patient outcomes and strengthening patients’ experiences when they interact with the health care system,” said Tori Bratcher, President of Trinity Health Integrated Care ACO. ”Streamlining patient education and engagement policies will greatly aid in these efforts by supporting collaboration with patients on many levels.”
For more information, please visit https://hcttf.org
Media Contacts:
Rebecca Smoots
919-923-9479
[email protected]
David Pittman
202-640-2689
[email protected]
ABOUT THE NATIONAL ASSOCIATION OF ACOs (NAACOS)
The National Association of ACOs (NAACOS) represents more than 9.1 million beneficiary lives through Medicare’s population health-focused payment and delivery models. NAACOS is a member-led and member-owned nonprofit of more than 470 ACOs in Medicare, Medicaid, and commercial insurance working on behalf of health systems and physician provider organizations across the nation to improve quality of care for patients and reduce health care cost. To learn more, visit WWW.NAACOS.COM.
ABOUT HEALTH CARE TRANSFORMATION TASK FORCE
Health Care Transformation Task Force is a unique collaboration of patients, payers, providers and purchasers working to lead a sweeping transformation of the health care system. By transitioning to value-based models that support the Triple Aim of better health, better care and lower costs, the Task Force is committed to accelerating the transformation to value in health care. To learn more, visit WWW.HCTTF.ORG.
TASK FORCE MEMBERS
Aetna • agilon health • Aledade • American Academy of Family Physicians • American Heart Association • Atlantic Health System • Atrius Health • Blue Cross Blue Shield of Massachusetts • Blue Cross Blue Shield of Michigan • Blue Cross Blue Shield of North Carolina • Blue Shield of California • Cambia Health Solutions • Charlie Health • Clarify Health • Cleveland Clinic • Community Catalyst • Covera Health • Curana Health • Elevance Health • Evolent • Families USA • Heritage Provider Network • Honest Medical Group • Innovaccer • Kaiser Permanente • Mark McClellan • MedStar Health • National Partnership for Women & Families • National Patient Advocate Foundation • OPN Healthcare • Oshi Health • Policy Center for Maternal Mental Health • Premier • PSW • Sentara Healthcare • Signify Health • Strive Health • Sun River Health • Trinity Health • Washington State Health Care Authority • UAW Retiree Medical Benefits Trust