JPMorgan's health arm, Morgan Health, has published a policy guide for federal lawmakers that aims to advance and scale value-based care models within employer-based health insurance.
Fewer than 13 percent of commercial insurance payments were tied to two-sided risk models in 2021, compared to more than 35 percent of payments under Medicare Advantage and 24 percent under traditional Medicare, according to a June 8 news release.
The proposed policies were broken into two categories: "Advancing data quality and uniformity standards" and "addressing workforce shortages in primary and behavioral health."
Five key policy proposals:
Advancing data quality and uniformity standards
1. Finalize proposals for a national provider directory
2. Modernize the existing HIPAA statute to better reflect modern technology and business transactions.
3. Provide consistent standards for race and ethnicity data collection, use, and reporting between businesses and the federal government.
Addressing workforce shortages in primary and behavioral health
4. Encourage value-based models that promote primary care that is integrated with behavioral services.
5. Empower non-physicians' ability to practice to their highest limit and improve reimbursement for behavioral services. Morgan Health noted that scope of practice laws are regulated by the states.
More details about the policy proposals are available here.