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Value-based Reimbursement State-by-State


A national study of state programs which finds more than 40 states strategically invested in value-based payment models, 20 with targets or mandates, and just 7 states trailing the trend

What you will learn in this review

Much attention has been paid to the federal government’s role in accelerating the shift in healthcare payment from volume to value. For example, when it announced a commitment to tie 90% of Medicare payments to value by 2018 and through CMS introduction of value-based payment initiatives, such as the Protecting Access to Medicare Act of 2014 (PAMA) and the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

But CMS’s role in the payment reform landscape has overshadowed the importance and momentum of other work occurring at the state level. This report seeks to shed light on this other work through an examination of state-level value-based payment initiatives underway across America.

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