Payment Models

As our healthcare system continues to innovate ways to incentivize quality over quantity, we must ensure that health disparities and social determinants are addressed if we are to achieve health equity. Years of research have revealed the link between non-medical factors and poor health outcomes. New payment models must be equipped to address the factors that drive high healthcare costs and poor outcomes. This is particularly true among vulnerable populations, who often live with higher rates of chronic disease and less access to health care services. As shared in our 8-point-call-to-action TRCC highlights policies that would help ensure payment to care providers and non-clinical community- based organizations to reduce costs and advance health equity.  

Resources and Information

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John Lewis Equality in Medicare and Medicaid (EMMT) Act 

H.R. 7755 - Representative Terri Sewell (D-AL)

  • Introduced on 5/12/22

  • 6 Co-Sponsors as of 9/13/22

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S. 4067 - Senator Cory Booker (D-MA)

  • Introduced on 4/7/22

  • 2 Co-Sponsors as of 9/13/22

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Description

The bill would:

  • Require health equity advancements in the development of Medicare and Medicaid payment models from the Center for Medicare and Medicaid Innovation (CMMI)

  • Elevate health equity as a concern within the Innovation Center

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A one page summary on the bill prepared by TRCC staff is available here

Status

  • The bills remain under consideration in the House Energy and Commerce and Ways and Means Committees and the Senate Committee on Finance

Additional Information

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