Accountable Care

Value Proposition: TMA Redoubles Advocacy As More Physicians Eye Value-Based Care
Fee-for-service payment still dominates the U.S. health care system. But economic headwinds – including rising inflation, declining physician payment, and rampant industry consolidation – are pushing some practices across settings and specialties to seek supplementary revenue, according to recent surveys. As more Texas physicians eye value-based care, TMA redoubles education and advocacy.

Read About TMA's Value-Based Care Efforts
Accountable Care: Why Should I Care?

Quality

The cost and quality of health care are top policy concerns as significant drivers of the growing national debt. With national health care expenditures in 2021 accounting for approximately 18% of the gross domestic product, the U.S. is capable of producing advanced treatments and remarkable outcomes for a portion of the population. In contrast, the U.S. performs significantly worse than other wealthy countries in common metrics like access to care, maternal and infant mortality, control of chronic diseases, and life expectancy.
Read More: Accountable Care's Goals
Alternative Payment Models: Medicare

The Centers for Medicare & Medicaid Services (CMS) has taken the lead in testing voluntary and mandatory value-based care (VBC) programs with physicians, hospitals, health plans, and others. CMS aims to have all Medicare and most Medicaid beneficiaries enrolled in accountable care programs by 2030. The agency also is committed to promoting health equity through these initiatives by including an equity component in all new programs and revising existing programs to encourage participation by those serving disadvantaged or rural populations.
See CMS Programs Available in Texas
Commercial Payers and Value-Based Care

According to a recent report from the Health Care Payment Learning & Action Network (LAN), interest and participation in value-based care in the commercial sector is increasing with approximately 46% of commercial payments currently tied to value.
See the Stats, Texas’ Plans Strategies
TMA is helping to strengthen your practice by offering advice and creating a climate of medical success across the state.

Explore TMA Member Benefits
What could a TMA membership mean for you, your practice, and your patients?

Join TMA Now
NOTICE: This information is provided as a commentary on legal issues and is not intended to provide advice on any specific legal matter. This information should NOT be considered legal advice and receipt of it does not create an attorney-client relationship. This is not a substitute for the advice of an attorney. The Office of the General Counsel of the Texas Medical Association provides this information with the express understanding that (1) no attorney-client relationship exists, (2) neither TMA nor its attorneys are engaged in providing legal advice, and (3) the information is of a general character. Although TMA has attempted to present materials that are accurate and useful, some material may be outdated, and TMA shall not be liable to anyone for any inaccuracy, error, or omission, regardless of cause, or for any damages resulting therefrom. You should not rely on this information when dealing with personal legal matters; rather legal advice from retained legal counsel should be sought. Any legal forms are only provided for the use of physicians in consultation with their attorneys. Certain links provided with this information connect to websites maintained by third parties. TMA has no control over these websites or the information, goods, or services provided by third parties. TMA shall have no liability for any use or reliance by a user on these third-party websites or the information provided therein.
ACOs, Bundled Payments and Other Alternative Payment Models

Accountable Care

Value Proposition: TMA Redoubles Advocacy As More Physicians Eye Value-Based Care

Accountable Care: Why Should I Care?

Alternative Payment Models: Medicare

Commercial Payers and Value-Based Care

TMA is helping to strengthen your practice by offering advice and creating a climate of medical success across the state.

What could a TMA membership mean for you, your practice, and your patients?

ACOs, Bundled Payments and Other Alternative Payment Models

Ask the TMA Knowledge Center

(800) 880-7955

Tools and Resources

A Deeper Dive Into Accountable Care