The District of Columbia Department of Health Care Finance’s (DHCF) Managed Care Value-Based Purchasing (VBP) Framework for CY 2026–2030 establishes the structure for aligning Medicaid managed care payments with quality, outcomes, and patient-centered care. The framework prioritizes primary and preventive care, maternal health, and pediatric health, while strengthening accountability and standardized performance measurement across Managed Care Plans (MCPs) and provider partners.
Title: Understanding Value-Based Care
Description: This video introduces the basics of value‑based care, showing how the health system is shifting from paying for services to paying for better health. Through clear explanations and real‑life examples, it highlights why the District is embracing value‑based care, how it supports patients and care teams, and what it means for healthier communities.
Title: Shift to Value-Based Purchasing (VBP)
Description: This video introduces Medicaid Managed Care Plan staff, primary care and pediatric providers, and DHCF staff to the essentials of value‑based purchasing. It explains fee‑for‑service payment, the four LAN Alternative Payment Model categories, the District’s shift toward value, the roles of DHCF, managed care plans, and providers, and the three initial DHCF value‑based care focus areas.
For questions or comments about the VBP Framework, please contact:
Tadessa Harper-Nichols, Project Manager, Division of Quality and Health Outcomes
Email: [email protected]
Health Care Delivery Management Administration
Email: [email protected]
Note: This document will be updated periodically as the District’s VBP program evolves.
Attachments
DC Value-Based Purchasing (VBP) Framework 2026-2030
Disclaimers for VBP webpages:
- AI: Artificial intelligence (AI) was used to support development of the videos in this series, with all final content review by DHCF staff.
- Funding: This video series was developed as part of Integrated Care DC, which is managed by the DC Department of Health Care Finance (DHCF). This project is supported by the Centers for Medicare & Medicaid Services (CMS) of the U.S. Department of Health and Human Services (HHS). A total of $1,527,057.67, or 57 percent, of the project is financed with federal funds, and $1,147,478.36, or 43 percent, is funded by non-federal sources. The contents are those of the author(s) and do not necessarily represent the official views of, or an endorsement by, CMS/HHS or the U.S. Government.