VBP Demonstrations for CAHs and Small PPS Hospitals

September 2011
National Advisory Committee on Rural Health and Human Services

While value-based purchasing (VBP) regulations for larger hospitals paid under the regular Medicare Inpatient Prospective Payment system (PPS) have been issued, the US Department of Health and Human Services (HHS) has yet to issue regulations or a solicitation for applications for critical access hospital (CAH) and low volume hospital VBP demonstrations. This white paper provides recommendations for CAH and small PPS hospital participation in demonstration projects.