What should be of major concern to providers – is the new reality that the National Institutes for Health (NIH), and the Centers for Medicare and Medicaid (CMS) Services have been moving forward over the last five years with testing advanced Value Based Program (VBP) models, starting with pay – for – reporting programs.
Value Based Program (VBP) models are under development within the health care delivery system, and they represent work in that is making progress in terms of our understanding of how best to design these programs to achieve improved healthcare performance goals. Included in this evaluation process are the optimal conditions for their successful implementation, including the provider responses they are predicting from positive incentives.
The design features and the context in how Value Based Programs are implemented will at some point become critical determinants of an individual provider’s programs success or failure.
Given the substantial investments that the Centers for Medicare and Medicaid Services (CMS) is making to implement and test a variety of Value Based Program models, behavioral health providers will have to consider how they are going to best respond to future federal policy-making related to VBP implementation.
Now is the right time for Behavioral Health providers to begin implementing the internal monitoring and systematic evaluation digital systems that are needed for them to generate the information policymakers will require in future government performance reporting standards and reimbursement.