capitol hill

September 21, 2020 – Members of the House of Representatives sent a letter to House Speaker Nancy Pelosi and Minority Leader Kevin McCarthy encouraging the House to take action to ensure that entities participating in value-based care contracts continue to qualify for bonuses intended to reward clinicians that participate in performance-based risk in traditional Medicare.

The Medicare Access and CHIP Reauthorization Act (MACRA) created an incentive payment for entities that take on certain levels of financial risk in traditional Medicare. The statute established certain requirements to qualify for the bonus payments. One such requirement is achieving a threshold related to participation. In 2021, the threshold test jumps dramatically. Now, risk-bearing accountable care organizations (ACOs) and Members of Congress are calling for relief from this cliff. The letter urges House leadership to act to prevent the cliff from going into effect.

The Coalition thanks the Members of Congress for their support in this important effort.