Tingyin T. Chee|Andrew M. Ryan|Jason H. Wasfy|William B. Borden
Current State of Value-Based Purchasing Programs
University of Michigan–Ann Arbor|George Washington University|Harvard University|Massachusetts General Hospital|University of Michigan–Ann Arbor|George Washington University|Harvard University|Massachusetts General Hospital|University of Michigan–Ann Arbor|George Washington University|Harvard University|Massachusetts General Hospital|University of Michigan–Ann Arbor|George Washington University|Harvard University|Massachusetts General Hospital
us healthcare system rapidly moving toward rewarding value recent legislation affordable care act medicare access chip reauthorization act solidified role valuebased payment medicare many private insurers following medicares lead much policy attention programs accountable care organizations bundled payments yet valuebased purchasing vbp payforperformance defined providers paid feeforservice payment adjustments based value metrics remains core element value payment medicare access chip reauthorization act likely remain foreseeable future review article summarizes current state vbp programs provides analysis strengths weaknesses opportunities future multiple inpatient outpatient vbp programs implemented evaluated impact programs marginal opportunities enhance performance vbp programs include improving quality measurement science strengthening size design incentives reducing health disparities establishing broad outcome measurement choosing appropriate comparison targets determining optimal role vbp relative alternative payment models vbp programs play significant role healthcare delivery years come serve opportunity providers build infrastructure needed valueoriented care