Health Affairs December 16, 2021
Following implementation of the Affordable Care Act, the Department of Health and Human Services established ambitious goals in Medicare for linking fee-for-service (FFS) payments to quality and value and transitioning more Medicare payments to models that move away from FFS. As a result, the Centers for Medicare and Medicaid Services (CMS) initiatives to stand-up and accelerate value-based purchasing (VBP) and alternative payment models (APMs) within Medicare have garnered most of the attention in academic and policy arena discussions on value in health care.
Meanwhile, in Medicaid, the nation’s public health insurance program for people with low income, CMS and some states are testing modified reimbursement schemes to incentivize quality and begin promoting value. Results emerging from these demonstrations as well...
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