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    May 29, 2025

    The Honorable Mike Johnson

    Speaker

    U.S. House of Representatives 

    H-232, The Capitol

    Washington, DC 20515

    The Honorable Hakeem Jeffries

    Democratic Leader

    U.S. House of Representatives 

    H-204, The Capitol

    Washington, DC 20515

    The Honorable John Thune

    Majority Leader

    U.S. Senate

    S-230, The Capitol

    Washington, DC 20510

    The Honorable Charles Schumer

    Democratic Leader

    U.S. Senate

    S-221, The Capitol

    Washington, DC 20510

    Re: Congress Must Act to Sustain Medicare’s Transition to Advanced Alternative Payment Models (APMs)


    Dear Speaker Johnson, Leader Thune, Leader Jeffries, and Leader Schumer:


    On behalf of the 24 undersigned physician and health care associations and more than 550 accountable care organizations (ACOs), health systems, hospitals, physician practices, health clinics, and accountable care stakeholders we call on Congress to support continued investment in Medicare’s transition to advanced APMs that take on accountability for costs and outcomes of their patient populations.


    APMs reduce health care spending and improve outcomes by providing physicians, hospitals, and other health care providers with incentives and tools to manage patient populations proactively. APMs focus on management of chronic conditions and reward prevention across the continuum of care. This approach has proven successful with Medicare as ACOs, the largest APM in Medicare, lowered spending by more than $28 billion over the last decade. Physicians and other health care providers in ACOs also consistently outperformed clinicians in non-value-based payment models on quality measures, including preventive care measures. Moreover, these reforms have produced a spillover effect that improves care and lowers costs for patients across the health care system.

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