On September 11, 2014

Rep. Welch unveils legislation that rewards health care systems for value, not volume

Rep. Peter Welch recently unveiled bipartisan legislation to build upon the progress of Accountable Care Organizations (ACOs) in shifting the reimbursement of health care providers away from the traditional “fee for service” model to a focus on improving the health outcomes of patients.

Welch is the author of a provision in the Affordable Care Act that created a nationwide Medicare ACO program. An ACO is a collaborative of health care providers working together to improve the quality and efficiency of patient care, rather than increase the number and type of services performed. The goal of ACOs is to drive down health care costs and improve patient health outcomes by creating financial incentives to provide better, more cost-effective care.

Joined by Representative Diane Black (R-TN), Welch will officially introduce The ACO Improvement Act of 2014, this week. The bill will improve the ACO model by further incentivizing the focus on health outcomes, increasing collaboration between patients and doctors, and providing ACO’s with additional tools.

“Vermont’s health policy leaders have long understood that to reduce health care costs and increase quality, the incentives built into the provider payment system need to be changed. In short, we need to reward value, not volume,” said Rep. Welch. “Paying health care providers based on improvements in patient health rather than the number of procedures they perform is the way of the future. Our legislation will advance these payment reforms and is based on the experience of ACOs in Vermont and around the country.”

“The ACO model is one of our principal strategies to develop coordinated systems of care to improve health care delivery for the people of Vermont and Northern New York,” said John Brumsted, M.D., president and CEO at Fletcher Allen Health Care.

Rep. Welch is a member of the House Energy and Commerce Committee and Rep. Black, a former nurse, is a member of the House Ways and Means Committee. The two  committees have jurisdiction over all health care legislation in the House of Representatives.

Do you want to submit feedback to the editor?

Send Us An Email!

Related Posts

Pride in Rutland: Flags, resistance, and showing up

June 25, 2025
By Emily Pratt Slatin Pride returned to downtown Rutland this June with more color, noise, and purpose than ever before. What began as a joyful celebration quickly became something deeper—something that felt like resistance. And belonging. And a promise that no one in this community has to stand alone. The day kicked off with the…

Plan to manage 72,000 acres of the Telephone Gap project is finalized

June 25, 2025
Staff report The U.S. Forest Service issued its final plan for managing 72,000 acres of public and private land on June 16. The proposed Telephone Gap Integrated Resource Project area is located on the Green Mountain National Forest (GMNF) within the towns of Brandon, Chittenden, Goshen, Killington, Mendon, Pittsfield, Pittsford, and Stockbridge. “The Telephone Gap project is…

Hot air balloons took flight over Quechee

June 25, 2025
By James Kent This past weekend, June 21-22, people came from all over New England to participate in the 45th annual Hot Air Balloon Festival. Music, food, games, and fun were available for all ages throughout the weekend, but the main attraction was the hot air balloons. And for those looking to see these gigantic,…

Killington residents push for skate park as town reimagines recreation future 

June 25, 2025
By Greta Solsaa/VTDigger As Killington celebrates the 50th anniversary of its recreation center, some residents are pushing to make a skate park a new permanent fixture of the town’s summer offerings.  The town crafted its recreation master plan to holistically determine how to best use its resources to serve residents in the future, Recreation Department Director Emily Hudson…