Health Centers and Value-Based Payment: A Framework for Health Center Payment Reform and Early Experiences in Medicaid Value-Based Payment in Seven States

This article published in The Milbank Quarterly describes the current health center payment system and offers a conceptual multi-layered model for primary care payment reform. It includes an analysis of two national data sets that examines the relationship between value-based payment participation and health center size, financial solvency, and financial performance. It also explores how policy environments and other factors influenced VBP adoption based on interviews with health center leaders in the study states.