What is Medicare Value-Based Purchasing?

Medicare Value-Based Purchasing (VBP) is a Centers for Medicare & Medicaid Services (CMS) initiative that rewards acute care hospitals with incentive payments for the quality of care they provide to Medicare beneficiaries. This program adjusts hospital payments based on performance measures including clinical outcomes, patient experience, safety, and efficiency. Hospitals can earn back a percentage of their Medicare payments through high performance, while poor performers face reduced reimbursements.

Why Medicare Value-Based Purchasing matters

• Improves care quality: Incentivizes hospitals to enhance patient outcomes and safety
• Promotes patient satisfaction: Rewards facilities that provide better patient experiences
• Shifts payment models: Moves healthcare reimbursement from volume to value

How Solace can help

A Solace advocate can help you understand hospital VBP scores when choosing facilities, interpret quality metrics that affect your care, and identify high-performing hospitals in your area. Advocates can also assist with addressing quality concerns if you experience substandard care at participating hospitals.