Health Affairs April 23, 2024
The Centers for Medicare and Medicaid Services (CMS) has committed to having all Medicare beneficiaries in value-based payments (VBPs) by the end of this decade. This seems ambitious. After all, it has been more than 13 years since passage of the Affordable Care Act, 11 years since introduction of the Medicare Shared Savings Program (MSSP), and seven years since the bundles encompassing Comprehensive Care for Joint Replacement (CJR) Model and the Oncology Care Model. Yet, today only about one third of traditional Medicare beneficiaries are in an accountable care organization (ACO). The uptake of VBP has been slow, slower than many people have expected.
There are major challenges to expanding the proportion of Medicare patients in VBP arrangements to 100...
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