Value-Based Purchasing

Medicaid payment policy remains a near-term VBC pressure point as CMS activity around managed care state directed payments and targeted fee-for-service practitioner payments signals continued scrutiny of how states use Medicaid financing to support provider rates, access, and delivery-system incentives under the Trump administration’s CMS leadership. At the same time, provider groups are pushing VBC deeper into hospital medicine, with AMGA framing value-based inpatient care as a route to safer, smarter hospital care—important for ACOs and health systems trying to control total cost of care beyond ambulatory settings. The immediate tension