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    Health policy changes could affect reimbursement: What to know

    Significant health policy changes that could affect reimbursement are on the horizon, according to a new report.

    A survey of Vizient’s member hospital C-suite and pharmacy executives recently asked hospital leaders about their opinions on the future of the Affordable Care Act (ACA) and other healthcare policies under the new Administration.

    The top findings include:

    1. An overwhelming majority of hospital C-Suite leaders (89.5%) and hospital pharmacy executives (96.2%) want to keep the ACA’s  protections of patients with pre-existing conditions in place.

    2. A slim majority of hospital C-Suite leaders want to see value-based reimbursement continued in the event that changes are made to the ACA.

    3. The top concern for the future of the executives surveyed was lower reimbursement, followed by fewer insured/covered patients. 

    4. Looking ahead, the leaders surveyed cited reimbursement from Medicare/Medicaid, followed by health policy, as having an influence over hospital merger and acquisition activity.

    5. In light of recent price spikes and drug shortages, 55% of hospital executives surveyed said they would like the Trump administration to work with the FDA to fast-track competitive drugs to market.

    6. Across all executives surveyed, their top three priorities for 2017 were (1) reducing clinical variation across care delivery, (2) migrating toward value-based models and (3) the integration of existing technology systems.

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    “In reviewing the survey results, central themes come through: uncertainty and concerns about financial viability,” says Byron Jobe, president, chief administrative officer and CFO, Vizient. “There are many open questions about the future of the ACA and what a ‘repeal and replacement’ strategy could look like. As Congress wrestles with these decisions, it’s important to ensure reimbursement levels are enough to allow providers to continue their mission of caring for patients in their communities. Equally important, they must quickly gain a clear understanding of where health policy is heading so they can begin to prepare.”

    Next: What to focus on

     

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