We evaluated both the Center for Medicare and Medicaid Services Innovation Center (CMS Innovation Center) models and the Medicare Shared Savings Program (MSSP) and found that they have generated gross savings for all beneficiaries in the Traditional Medicare program while demonstrating positive impacts on selected quality measures.
Value-Based Care
Reports
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The Impact of Alternative Payment Models on Medicare Spending and Quality, 2012-2022
Maximizing Data Interoperability and Integration to Support Value-Based Care
Stakeholders broadly recognize the imperative of accessing, exchanging, integrating and using data from across the care spectrum to achieve the goals of value-based care. Though there is increasing evidence data exchange is occurring, less is known about how data are being integrated into workflows and used across the care spectrum.
Report to Congress
Second Report to Congress on Social Risk and Medicare's Value-Based Purchasing Programs
As required by the IMPACT Act, the second Report to Congress examines the effect of individuals’ social risk factors on quality measures, resource use, and other measures under the Medicare program, as well as analyses of the effects of Medicare’s current value-based payment programs on providers serving socially at-risk beneficiaries and simulations of potential policy options to address these
Perspectives of Physicians in Small Rural Practices on the Medicare Quality Payment Program
The objectives of this research effort were to collect feedback through interviews with physicians in small rural practices on the initial implementation of Medicare’s Quality Payment Program in 2017, a new value-based purchasing program for Medicare physicians.
Report, Report to Congress
Report to Congress: Social Risk Factors and Performance Under Medicare's Value-Based Purchasing Programs
This report, mandated by the Improving Medicare Post-Acute Care Transformation Act of 2014 or the IMPACT Act (P.L. 113-185), requires the Secretary, acting through the Assistant Secretary for Planning and Evaluation (ASPE), to conduct research on issues related to socioeconomic status (SES) in Medicare’s value-based payment programs.
Measuring Success in Health Care Value-Based Purchasing Programs
ASPE asked RAND to review what has been learned about performance-based payment models, or Value-Based Purchasing (VBP) programs over the past decade that might help inform policymaking. Value-based purchasing programs are advancing in response to ACA requirements, including federal initiatives to accelerate redesign of delivery system through performance-based financial incentives.
Maximizing the Value of Philanthropic Efforts through Planned Partnerships between the U.S. Government and Private Foundations
This report presents findings from a study that examined how the US government and private philanthropic foundations develop and sometimes coordinate health and social services initiatives domestically and internationally.
Environmental Scan
An Environmental Scan of Pay for Performance in the Hospital Setting: Final Report
Section 5001(b) of the Deficit Reduction Act of 2005 requires the Secretary to develop a plan to implement a value- based purchasing program for payments under Medicare for subsectioin (d) hospitals beginning with fiscal year 2009.
Environmental Scan
An Environmental Scan of Pay for Performance in the Hospital Setting: Final Report
Prepared by: RAND Health working paper series CHERYL L.DAMBERG, MELONY SORBERO, ATEEV MEHROTRA, STEPHANIE TELEKI, SUSAN LOVEJOY, AND LILY BRADLEY