Lawmakers should consider patient-centered medical homes, value-based payments and incentives to coordinate patient care as Congress explores how to change the way Medicare reimburses physicians, a panel of experts testified Wednesday.
As physicians face a cut of around 30% to their Medicare payments in five months, House Republicans hosted the first of two hearings in a week to learn from the private sector about effective payment strategies. On Wednesday, lawmakers and witnesses at the House Energy and Commerce Health Subcommittee hearing started with the premise that the current system—the contentious sustainable growth-rate formula—is unworkable.
Dr. David Bronson, a physician at the Cleveland Clinic and president of the American College of Physicians, said that the ACP strongly recommends the Medicare program broadly adopt the patient-centered medical home model, and that Congress should enact payment policies to accelerate the adoption of the medical home neighborhood model. The neighborhood concept, Bronson testified, is essential to the success of the medical home because it recognizes that specialties, sub-specialties, hospitals and other entities that provide treatment should receive incentives for engaging in patient-centered practices.