To say that this has been a year of uncertainty may be an understatement. We saw a new President and administration, changes in leadership at the Centers for Medicare & Medicaid Services (CMS), more than one attempt at repealing at the Patient Protection and Affordable Act, and possible new tax legislation. For executives of provider organizations these changes in policy and budgeting have made it difficult to plan for the future. Despite all of that, one trajectory has remained the same—the move to value-based reimbursement (VBR). Although CMS did scrap the bundled payment models for mandatory hip fracture . . .