Hospitals and health systems are actively working to serve their communities in numerous ways, including through the adoption of initiatives that control costs, improve outcomes, and enhance patient-centered care. Many are working with payers to establish value-based payment (VBP) arrangements to support these goals. There is a wide range of approaches to VBP, from programs that incentivize public reporting on quality metrics to prospective payments for all of the health care needs of a given population. With no single VBP "destination," hospitals and health systems are evaluating which models may best support their organizational and community goals. The migration from fee-for-service payment to VBP is well underway. While the Centers for Medicare & Medicaid Services (CMS) has recently promoted increased flexibility for providers in VBP models, many states and private payers also are pursuing and expanding VBP arrangements.
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