Value-Based Payment Resources

Medicare Performance-Based Payment Adjustment Programs

Medicare Performance-Based Payment Adjustment Programs

Medicare Performance-Based Payment Adjustment Programs

This resource goes over three performance-based payment adjustment programs for hospitals. These programs affect those inpatient facilities paid under the Medicare Prospective Payment System (PPS). This generally excludes most Critical Access Hospitals. Based upon hospital performance, as measured under separate formulas, each of the programs can lead to a year-long adjustment of the hospital’s Medicare reimbursement rate. 

What is the Quality Payment Program?

What is the Quality Payment Program?

What is the Quality Payment Program?

This resource breaks down the Quality Payment Program (QPP) which is the performance-based payment program for certain clinicians reimbursed under Medicare Part B. The QPP is administered under two tracks: Advanced Alternative Payment Models (APMs) and Merit-Based Incentive Payment System (MIPS).

Engaging State Offices of Rural Health and Rural Health Clinics in Value-Based Care

Engaging State Offices of Rural Health and Rural Health Clinics in Value-Based Care

Engaging State Offices of Rural Health and Rural Health Clinics in Value-Based Care

In an effort to support State Offices of Rural Health (SORHs) working with Rural Health Clinics (RHCs), the National Organization of State Offices of Rural Health (NOSORH) RHC Committee has produced this toolkit on value-based care (VBC). The focus of this toolkit is on providing resources for SORHs and RHCs to assess their current capacity for taking on value-based care work, information on the initiatives happening around the country, and examples of states tackling these issues with and for their RHCs.