CMS has instituted both voluntary and mandatory payment innovation programs to accelerate the transition to value-based payment models. This field guide helps clear up the confusion when it comes to these value-based payment models by highlighting their different payment structures. Recognizing how these programs disrupt the traditional fee-for-service (FFS) business model is essential for becoming a better strategic partner as organizations engaged in these programs take on more risk.

In this section of the field guide, we take a look at the five ACO-based alternative payment models CMS offered at the end of 2023. Programs currently accepting applications are indicated with a check mark.

In this section of the field guide, we take a look at the six disease- and episode-specific alternative payment models CMS offered at the end of 2023. Programs currently accepting applications are indicated with a check mark.

In this section of the field guide, we take a look at the three state-based alternative payment models, along with the Medicare Advantage VBID model, which CMS offered at the end of 2023. Programs currently accepting applications are indicated with a check mark.