Value-Based Purchasing
Expert articles and analysis related to value-based purchasing.
AI Summary ā Last 30 Days
Value-based purchasing activity is concentrating around Medicare performance architecture: CMSās Quality Payment Program/MIPS cycle is moving forward with 2024 performance previews and 2026 MIPS Value Pathway registration, while physician groups and members of Congress are pushing a MIPS overhaulāsignaling continued tension between specialty-specific measurement burden and CMSās shift toward more episode- and condition-oriented accountability. At the same time, evidence from the Home Health Value-Based Purchasing model suggests Medicare VBP can reduce dementia-care disparities, reinforcing equity as a durable design objective, while pharmacy and specialty-drug stakeholders are positioning biosimilars and cell/gene therapy contracts as the next frontier for downside-risk affordability strategies in Medicare and commercial VBC models (AJMC on biosimilars in Medicare VBP; AASM on 2026 MVP registration).
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