Many states put value-based payment models on hold after the election of President Donald Trump due to uncertainty regarding how CMS would pursue such models under the new administration, according to a whitepaper released Tuesday by Leavitt Partners.
Here are three things to know about the future of value-based payments under Trump.
1. CMS recently indicated it is looking for specific elements in VBP models moving forward. According to the whitepaper, these include "increased opportunities and incentives for provider participation," as well as "a preference for voluntary participation," "greater flexibility for both providers and states," and decreasing federal Medicaid spending.
2. Although the current administration will continue trying to move states to VBP models, financing may be different, according to the whitepaper. The paper specifically cites CMS' recent actions on state 1115 waiver requests, which "indicate a stricter view of the role of federal financial support for state delivery system reform initiatives." According to the paper, CMS has also indicated it won't authorize more funding extensions for Delivery System Reform Incentive Payment programs.
3. The paper's authors concluded: "As CMS considers diminishing its financial support for adoption of VBP models, states will … need to take more responsibility in financing these initiatives. States may also need to play a greater role in aligning multipayer initiatives and creating incentives to encourage adequate provider participation."
Access the full paper here.
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