ANCOR has been following policymaking surrounding Medicaid value-based care because of its increasing use in disability supports (see our 2019 white paper on the topic here). The Centers for Medicare and Medicaid Services has shown increasing focus on this issue in recent years, leading to this new announcement:
“The Centers for Medicare & Medicaid Services (CMS) released new guidance to states encouraging them to advance value-based care (VBC) across their healthcare systems, with a particular emphasis on Medicaid populations. The key driver of VBC is the adoption of value-based payment (VBP) for care provided in the healthcare system. Improving value in the larger healthcare system is more likely to happen if provider incentives are aligned across payers, and advancing VBC in Medicaid represents a significant opportunity to improve beneficiary health while reducing costs.
This guidance specifically addresses regulatory pathways in Medicaid to the adoption of VBP, key considerations for states pursuing VBP, and examples of innovative payment models to achieve VBC.