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 2024 Final)
- DMAS CE Performance Measure Technical Specifications (SFY 2024 Final)
- 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
- Meeting 7 Agenda - July 9, 2021
- Meeting 7 Presentation - July 9, 2021