Health Affairs August 11, 2020
COVID-19 has disrupted nearly every aspect of health care, including the momentum toward value-based payment reform. Prior to the pandemic, the Centers for Medicare and Medicaid Services (CMS) had been leading a nationwide shift toward alternative payment models (APMs), in which clinicians and organizations share responsibility for the quality and costs of care. By 2018, 36 percent of all health care payments were tied to APMs.
However, amid pandemic-related uncertainty, in June 2020, CMS halted further payment reforms through new rules that allow the agency to delay new APMs and allow participants to limit financial risk, delay reporting, and opt-out for time periods affected by COVID-19. While these flexibilities are appropriate short-term measures, reopening value-based payments “as-is” after COVID-19 could...