Value-Based Purchasing

Since 2011, the Department of Health and Human Services has made significant investments in a 21st century primary care and chronic disease management model. This work is designed to move MaineCare away from a payment system that rewards volume to one focused on high-quality care, accountability, and appropriate use of health care.

The MaineCare Value-Based Purchasing (VBP) strategy includes the following inter-related reform efforts:

  • Accountable Communities
  • Behavioral Health Home Program
  • Case Coordination Unit (CCU)
  • Emergency Department (ED) Collaborative
  • Health Home Program
  • Opioid Health Home Program

There are over 113,000 MaineCare members currently being served by these programs. More detail can be found in the individual pages linked below.

Methodology Documents

Proposed Performance Measures for Value-Based Purchasing Supplemental Pool (PDF)

For questions, contact your Value-Based Purchasing Provider Relations Specialist.