The private insurance market has historically lagged government insurers in value-based healthcare and requires federal action, advises JPMorgan Chase’s health care division.
Morgan Health encourages federal policymakers to prioritize reforms that promote and expand value-based care in employer-provided insurance plans.
“The vast majority of Americans are still not fully reaping the benefits of values-based care. “There is,” said Dan Mendelsohn, CEO of Morgan Health. Division of JPMorgan Chase. “Employers have made meaningful progress in providing innovative care and benefits to their employees, but long-standing barriers that require Congress and the federal government to act in partnership with the private sector remain. I have.”
according to latest market data, less than 13% of commercial insurance payments in 2021 were linked to two-way financial risk for improved health outcomes, compared with more than 35% of Medicare Advantage payments and traditional Medicare payments was over 24%. These perverse incentives undermine employers’ ability to provide affordable, high-quality primary and responsible care programs, the company said. Ultimately, they contribute to: Pervasive disparities in health outcomes among employees.
Healthcare payment, delivery and quality depend on clean and consistent data, but barriers faced by employers, health plans and providers continue to hinder meaningful data collection, use and reporting. . Federal policy makers can address these barriers, according to the agency. Morgan Health policy reform to improve employer-sponsored insurance Policy Guide, authored by:
The growing demand for holistic health services has increased interest in expanding the primary and behavioral health workforce to maximize the skills of non-physician health workers. To expand access to these critical services, Morgan Health encourages policy makers to fully integrate primary behavioral medicine to advance primary care and empower non-physicians up to their licensure limits. It recommends encouraging responsible care arrangements that strengthen clinical capacity and improve reimbursement for behavioral health care. healthcare services.
