Changes In Clinicians’ Participation Across Medicare Value-Based Payment Models, 2017–22

Abstract

The Centers for Medicare and Medicaid Services (CMS) aims to transition all traditional Medicare beneficiaries from standard fee-for-service arrangements to accountable care relationships in conjunction with its broader value-based payment initiative, the Quality Payment Program (QPP). We constructed a longitudinal cohort of clinicians who billed Part B services during the period 2017–22, to describe changes in clinicians’ participation across QPP payment models. The share of clinicians who were QPP exempt (with no value-based payment model participation in Part B) increased from 27.5 percent in 2017 to 38.1 percent in 2022. Clinicians’ participation decreased from 46.3 percent to 26.7...