Across the wide range of stakeholders in the health and human service field, most want to see an end to fee-for-service (FFS) reimbursement. What comes next is yet to be defined – but there are a range of pay-for-performance and/or risk-based reimbursement models that are loosely referred to as "value-based purchasing."
The drivers of this shift to value-based purchasing are many –  including the unwillingness of payers to increase service fees in the face of rising costs, the failure of Congress to address Medicare FFS rates, the changes (in many states) to child welfare . . .

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