Madhani, MPH, director of McDermott+Consulting in Washington,
D.C., who adds it remains to be seen what will happen with the pro-
gram under President Trump.
Ms. Madhani points out that uncertainty surrounds the future of
value-based purchasing, because Mr. Trump has issued very few
detailed policy statements. She anticipates that reimbursing for surgi-
cal procedures based on quality outcomes and patient-centered care
will remain, partly because the program has been in place on the inpa-
tient side for some time and moving the risk to HOPDs, ASCs and
physician practices makes sense.
Dr. McDonough anticipates that bundled payments and the value-
based payment system — reforms found in Title III of the ACA — will
survive the Republican's attempt to downsize Obamacare. The reduc-
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