HCTTF August 20, 2025
HCTTF developed recommendations for the Center for Medicare & Medicaid Innovation (CMMI) to enhance provider experiences in Medicare Advantage (MA) value-based arrangements. This issue brief assesses MA investment in value-based arrangements, discusses provider experience in these models, and identifies opportunities for CMMI to promote best practices in this market.
Because CMMI has operated a limited number of MA models, we recommend beginning with voluntary models that compare new and existing methodologies by:
- Conducting “shadow tests” of new payment methodologies, including changes to risk adjustment, benchmarking, and quality measurement....







