Value-Based Purchasing
Overview
Value-based purchasing refers to a range of policies that use both financial and non-financial incentives to drive strong performance at multiple levels within the health system. Within DMAS, the Office of Value-Based Purchasing (OVBP) is devoted to promoting policies that encourage the provision of high quality, efficient care to Medicaid members; resulting in better care outcomes for members, while maximizing the value the Commonwealth receives for its state and federal health care dollars.
Performance Withhold (PWP)
Clinical Efficiencies (CE)
DMAS CE Performance Measure Technical Specifications Value Set (SFY 2023 Final)
DMAS CE Performance Measure Technical Specifications (SFY 2023 Final)
DMAS CE Performance Measure Technical Specifications Value Set (SFY 2022 Final)
DMAS CE Performance Measure Technical Specifications (SFY 2022 Final)
Final Clinical Efficiency Program Level Results for SFY 2021
Medicaid Payment Policy and Care Coordination Workgroup
Medicaid Payment Policy and Care Coordination Workgroup Final Report
Meeting 1 Agenda - October 27, 2020
Meeting 1 Presentation - October 27, 2020
Meeting 2 Agenda - November 19, 2020
Meeting 2 Presentation - November 19, 2020
Meeting 3 Agenda - December 17, 2020
Meeting 3 Presentation - December 17, 2020
Meeting 4 Agenda - March 18, 2021
Meeting 4 Presentation - March 18, 2021
Meeting 5 Agenda - May 19, 2021
Meeting 5 Presentation - May 19, 2021
Meeting 6 Agenda - June 16, 2021
Meeting 6 Presentation - June 16, 2021