Anticipating the Rural Impact of Medicare VBP

April 2012
Rural Policy Research Institute (RUPRI) Health Panel

Value-based purchasing (VBP) represents a collection of new Medicare payment programs designed to improve clinical quality and patient experience while reducing cost inflation. In this paper, RUPRI discusses several forces leading to the design and implementation of Medicare VBP programs and then describes programs for five provider types: prospective payment system hospitals, critical access hospitals, skilled nursing facilities, home health agencies and physician office practices.