MACPAC Commissioners Support VBP State Comparison Report

The Medicaid and CHIP Payment and Access Commission (MACPAC) held a public meeting on February 27-28, 2020. MACPAC staff presented results from MACPAC contracted research on five state strategies to promote the use of value-based payments (VBP) in Medicaid managed care. The presentation was followed by a panel discussion with state representatives from New York, Ohio and South Carolina; three of the five states included in the MACPAC analysis.

The Commission generally recommended the publishing of the state comparison report evaluating the different state strategies to implement VBP in managed care. MACPAC found that while states currently have the authority to promote VBP in managed care, it requires significant state investment to launch such models. The Commission requested staff evaluate the role of VBP in maternity care, manage care rate setting and multi-payer alignment.

MACPAC staff will incorporate Commissioners’ feedback into the report and re-present the report at a future MACPAC meeting.

MACPAC is a non-partisan legislative branch agency that provides policy and data analysis and makes recommendations to Congress, the Secretary of the U.S. Department of Health and Human Services, and the states on a wide array of issues affecting Medicaid and the State Children’s Health Insurance Program (CHIP). The U.S. Comptroller General appoints MACPAC’s 17 commissioners, who come from diverse regions across the United States and bring broad expertise and a wide range of perspectives on Medicaid and CHIP.



For more information visit the McDermottPlus Payment Innovation Resource Center or contact Katie Waldo at 212-547-5433 or