Multi-Payer Alignment on Value-Based Care

This discussion proceedings focuses on strategies to enhance collaboration among various health care payers to advance value-based care models. The publication is part of a two-phase initiative in collaboration with the Center for Medicare & Medicaid Innovation (CMMI), aiming to transform the U.S. health system toward higher quality and efficiency.

The proceedings highlight six key components essential for advancing multi-payer alignment and health equity: signaling, mapping, measuring, modeling, partnering, and demonstrating.

These elements align with CMMI’s strategic objectives to drive accountable care, advance health equity, support care innovations, improve access by enhancing affordability, and partner to achieve system transformation.

The proceedings also addresses challenges such as the lack of co-development in alternative payment models and the complexities of aligning diverse stakeholder interests.

By fostering collaboration among Medicare, Medicaid, private payers, and other stakeholders, the proceedings outlines actionable steps to overcome these barriers and promote the adoption of value-based care models.

This proceedings provides guidance for policy makers, health care providers, and payers committed to transitioning from fee-for-service to value-based care, with the ultimate aim of improving patient outcomes and system-wide efficiency.