A letter from the Coalition to Promote Independence in Medicare to the Committee Chairs and Ranking Members in support of H.R. 4006, the bipartisan Community-Based Independence for Seniors Act of 2017
Expanding Care Coordination for High-Cost, High Need Beneficiaries
In both public programs and the private sector, 5% of patients account for 50% of health care costs. These patients typically face multiple chronic conditions and functional limitations that together lead to enormous health care costs, disability, and premature mortality. Better care and services for these often-vulnerable individuals is both a fundamental moral responsibility and an indispensable element of any serious effort to curb overall health care spending.
Improve Chronic Care in Medicare Advantage and Medicare Accountable Care Organizations (ACOs)
In Medicare, meeting that responsibility means doing more to help MA plans and ACOs to improve care and lower costs – particularly for the most vulnerable patients.
- Risk adjustment must fully account for the additional cost of caring for dually eligible, frail, or disabled beneficiaries.
- To encourage a more robust response to the social determinants of health, Congress should remove regulatory barriers that prevent accountable entities (health plans or ACOs) from investing program dollars on behavioral health, housing, and social and long-term services and supports.
Patient-Centered Care Planning
Any patient’s or consumer’s priorities should drive the care and services they receive. When chronic disease evolves into serious or advanced illness, it is particularly critical that a patient’s own preferences and choices guide the course of treatment. NCHC supports the following improvements to the current benefits in Medicare and across our health care system:
- Ensure that palliative care options are available and made known to patients throughout the course of illness
- Improve care for patients with advanced illness by reimbursing for care planning and providing relief from cost-sharing for those services
NCHC commends Energy and Commerce and the Ways and Means Committees for advancing bipartisan Medicare chronic care bills yesterday. These constructive home-based primary care and telehealth bills are examples of the innovative care strategies that we will need to improve the affordability and efficiency across our health care system.
Statement by John Rother, President and CEO of the National Coalition on Health Care, following House and Senate passage of legislation raising the debt ceiling, funding discretionary federal programs, and funding natural disaster relief “With the debt ceiling deal, Congress may have averted major disruption to financial markets, but it must still act this month to […]
In a letter sent to Congressional leaders on Tuesday, September 5, the National Coalition on Health Care called for common-sense, bipartisan solutions to address the looming cuts and deadlines impacting non-group insurance, the Children’s Health Insurance Program (CHIP), primary care, and Medicare benefits and services.
NCHC supports the Independence at Home model and HR 3623 which extends and strengthens the current Independence at Home Practice Demonstration.