JAMA Network November 19, 2025
Andrew S. Oseran, MD, MBA, MSc; Rishi K. Wadhera, MD, MPP, MPhil

Since 2010, the Centers for Medicare & Medicaid Services (CMS) has fully embraced value-based care as the organizing principle of national payment reforms. Yet after more than a decade of experimentation, the value-based movement has—at best—generated modest returns. Rigorous evaluations have shown that most of these models have not improved care quality or generated...

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Topics: CMS, Govt Agencies, Payment Models, Provider, Value Based
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