Value in Health Care Act of 2021

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Introduction. Bill Identification and Summary

  • Value in Health Care Act of 2021;
  • H.R.4587 – 117th Congress (2021-2022);
  • Changes in methodologies and components;
  • Changes concern the Medicare Shares Savings Program;
  • ACO to receive payments for savings;
  • Requires to increase savings and reduce operational costs.

Connection to a professional nursing practice standard

If passed

  • Assessment and diagnosis are made with accountability in mind;
  • Value-based care becomes the main focus;
  • Considerations of racial disparities are embedded;

If not passed

  • Savings within the standards or practice remain low;
  • There is a lack of planning and evaluation.

Impact of the bill on nursing practice (if passed)

  • Accountable Care Organizations (ACOs) are:
  • Incentivized to participate in equitable policy creation;
  • Monitor savings rates and increase them steadily;
  • Can eliminate high-low revenue distinction;
  • To receive advanced funding from the government;
  • To boost their accountability regarding health disparities.

Impact of the bill on nursing practice (if not passed)

  • The quality of care levels may remain low;
  • There may be a lack of control over spending;
  • The number of ACOs in Medicare will decrease;
  • Barriers to Medicare participation will remain;
  • Performance metrics on care are not updated;
  • Health equity considerations remain unaddressed.

Communication strategies

  • Liaising directly with organizations supporting the bill:
  • American Hospital Association;
  • American Medical Association;
  • Federation of American Hospitals, etc.;
  • Writing letters to Congress in support of the bill;
  • Sharing the latest updates on social media;
  • Asking providers questions about the bill’s benefits.

Community impact of the bill (if passed)

  • Taxpayers will get higher savings;
  • The quality and outcomes of care can increase;
  • Minority communities will encounter fewer racial disparities;
  • Improved care coordination and control (Moore, 2021);
  • Stronger cost control with reduced risk;
  • More awareness of how costs are used.

References

H.R.4587 – Value in Health Care Act of 2021. (2021). Web.

Moore, S. (2021). . Web.

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