The Push Towards Value-Based Care Continues – New Roadmap for Medicaid from CMS

CMS issued guidance to state Medicaid directors designed to advance the adoption of value-based care strategies across their healthcare systems and align provider incentives across payers. Under value-based care, providers are reimbursed based on their ability to improve quality of care in a cost-effective manner or lower costs while maintaining standards of care, rather than the volume of care they provide.  Value-based care arrangements may also permit providers to address social determinants of health, as well as disparities across the healthcare system.

This guidance includes an assessment of key lessons learned from early state and federal experiences in implementing value-based care reforms, as well as a comprehensive toolkit of available federal authorities for states to adopt innovative payment reform efforts within their individual programs. It stresses the importance of multi-payer alignment in value-based care to drive care transformation, and supports state efforts to align new payment models in Medicaid with Medicare and other private payers.

For more information – click here to read the fact sheet from CMS.

Click here to read CMS’ guidance for State Medicaid Directors.

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