Washington, D.C. – U.S. Senator Cory Booker (D-NJ) and Consultant Terri Sewell (D-AL-7th) launched the John Lewis Equality in Medicare and Medicaid Remedy (EMMT) Act that will require the Middle for Medicare and Medicaid Innovation (CMMI) to work with specialists to contemplate well being disparities when creating fee fashions.
Established by the Inexpensive Care Act, CMMI works to develop, take a look at, and implement new value-based fee fashions. Below present regulation, nonetheless, CMMI isn’t required to contemplate social determinants of well being – equivalent to a affected person’s atmosphere, training, and financial standing – when implementing and testing new fee fashions. The present establishment incentivizes well being suppliers to choose sufferers who will produce favorable medical outcomes, which leaves ladies, folks in rural communities, and Black and Brown folks sidelined within the growth of fee fashions.
The John Lewis EMMT Act would direct CMMI to seek the advice of with specialists on well being disparities, such because the Workplace of Minority Well being of the Facilities for Medicare & Medicaid Providers, the Federal Workplace of Rural Well being Coverage, and the Workplace on Ladies’s Well being, on creating new fee fashions that focus not solely on decreasing prices but in addition advancing well being fairness and bettering entry to care.
“The present well being care system accommodates quite a few disparities in well being fairness and entry to care, a undeniable fact that has been exacerbated by the COVID-19 pandemic,” stated Sen. Booker. “My pricey colleague John Lewis understood this and fought to make our well being care system fairer. I’m proud to proceed this combat with this bicameral laws that will make vital reforms to our well being care system, serving to our nation handle well being disparities and enhance well being outcomes, particularly for underserved communities.”
“Our late colleague, Congressman John Lewis, knew that with a purpose to obtain true justice, we should be intentional about rising entry to well being look after communities of coloration,” stated Rep. Sewell. “As co-chair of the Methods and Means Committee’s Racial Fairness Initiative, I’m dedicated to advancing his legacy by bringing well being fairness to the forefront of our coverage agenda. By guaranteeing that the Middle for Medicare & Medicaid Innovation considers the affect of recent fee fashions on communities of coloration, the John Lewis Equality in Medicare and Medicaid Remedy Act will assist us cut back racial disparities and construct a fairer and extra simply well being care system. I’m proud to affix Senator Booker in introducing this invoice and urge my colleagues to offer it their full help.”
“Motion is Life commends Senator Booker for his excellent management on well being fairness,” stated Mary O’Connor, MD and Chair of Motion is Life.“Making certain that the CMS Innovation Middle develops and exams well being fee fashions which don’t exacerbate well being disparities is important to reaching well being fairness. On behalf of the thousands and thousands of Individuals who’re damage by the discrimination at the moment embedded in our healthcare system by these biased fee fashions, thanks.”
Particularly, the John Lewis Equality in Medicare and Medicaid Remedy Act directs CMMI to:
· Contemplate a mannequin’s affect on entry to look after folks of coloration, ladies, and folks in rural areas, along with value and high quality.
· Embrace specialists in well being disparities and social determinants of well being in the course of the analysis and assessment course of for brand spanking new fee fashions.
· Directs CMMI to create a Social Determinants of Well being Mannequin that focuses on well being circumstances of these dually eligible for Medicaid and Medicare, behavioral well being, and maternal mortality.
The John Lewis Equality in Medicare and Medicaid Remedy Act is supported by the Nationwide Affiliation of Orthopaedic Nurses, The Root Trigger Coalition, the Nationwide Black Nurses Affiliation, the Osteoarthritis Motion Alliance, and the Academy of Medical-Surgical Nurses. The laws is cosponsored within the Senate by Senators Alex Padilla (D-CA) and Sherrod Brown (D-OH).