How the Biden Administration will Impact Value-Based Care
As the Biden Administration implements regulatory changes to the U.S. health care system, what should providers expect?
Join naviHealth for a Mastermind Series with David Ault, counsel for Faegre Drinker and former CMS senior advisor. Ault will lead a moderated discussion, offering insight regarding anticipated health care policy changes under the new administration and what impact these changes will have on value-based care.
There are only 6 spots available for this intimate mastermind series. There is no cost for participating.
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Topics will be the same across all sessions. Please click on the time and date below that best suits your availability.
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David Ault, counsel for Faegre Drinker, focuses on regulatory and compliance issues relating to Medicare and Medicaid reimbursement, with significant experience in value-based care arrangements. Drawing from his background in leadership positions with the U.S. Department of Health and Human Services (HHS), Ault advises healthcare providers and payers on the regulatory, compliance and litigation aspects of health insurance. In 2019, David joined the National Association of Accountable Care Organizations’ (NAACOS) Direct Contracting Taskforce. The taskforce’s goal is to offer tools and resources to assess the Centers for Medicare and Medicaid Services’ (CMS) new direct contracting payment system.
As the new administration comes into a healthcare system with major financial distress — and still in the midst of a pandemic — we can expect CMS to take swift action to implement a new plan.
Topics to be discussed:
- New landscape: Policy changes for COVID-19 and beyond
The Biden administration must balance the COVID-19 flexibilities with plans for a broader health system reform. It is up to the new administration and Congress to decide whether to extend these policies — and how — given the state of the pandemic and its impact on healthcare providers.
- The Shift: Providers taking on more Medicare risk
As healthcare costs continue to rise, providers are more inclined to take on additional risk. It will be interesting to see the results of physician groups and health system’s first performance year as direct contracting entities (DCE).
- New Relationships: ACOs and DCEs expand their agreements with providers
ACOs who took on the greatest financial risk in Medicare through the Next Generation ACO Model saved Medicare over $558 million in 2019, according to partial data from CMS. Due to COVID-19, the Next Generation ACO Model has been extended through the end of 2021; additionally, there are 51 DCEs participating in the implementation period of the Direct Contracting Model, which runs through the end of March 2021.
naviHealth works to generate upfront savings for post-acute care hospitals and health systems through value-based care models and risk partnerships. By pairing in-market clinical support with proprietary, predictive decision support tools, we work to streamline the care transition process — aiming to improve clinical and financial outcomes.