Instructions for VBP toolkit

Welcome to Oregon’s Toolkit for Implementing Value-Based Payment (VBP)!

Oregon is one of the first states to develop a Compact between payers and providers to promote increasing use of advanced VBP models. This statewide VBP commitment is designed to achieve the “triple aim” of improved health, better care, and lower costs. To achieve the triple aim, health care system transformation and payment reform must also focus on reducing health disparities and achieving health equity

“Currently, the majority of health care is paid based on quantity, or fee-for-service (FFS). In contrast, VBP supports providers in delivering whole-person care and holds them accountable for improving quality, costs, patient experience, and — increasingly — equity.” Oregon VBP Compact Roadmap, 2022

Successful VBP arrangements require an active partnership as payers and provider entities shift from a volume to a value focus. This Toolkit will help clinicians, provider entities, and their payer partners prepare for new VBP arrangements, implement these arrangements, and overcome specific challenges to operating successfully within increasingly advanced VBP models.

You can use the Provider VBP checklist to identify how to get started with new VBP models.  Each action item in the VBP checklist is described in the relevant Toolkit section:

Section I: Understand VBP models and assess your readiness

Section II: Get ready for VBP

Section III: Implement VBP model(s)

Section IV: Understand VBP compact models

While the Toolkit presents information in a sequential order, the process of implementing a new or more advanced VBP approach is iterative. Therefore, you can jump from one section to another to focus on items that are of most interest, depending on where you are in your VBP journey.  Sections marked Reserved are held for future content development.

Click on items underlined in blue font to move to another section of the document with additional information on the defined term or subject.  (The first time a defined term is used in the Toolkit, the hyperlink connects you to the Glossary definition.)

Throughout this document, the following icons highlight key actions and considerations for the reader.

While the primary audience for this Toolkit is expected to be provider entities and clinicians, important VBP considerations related to payers are highlighted in blue call-out boxes such as the following:

An ideal payer-provider VBP partnership should include communication, collaboration, data sharing, and technical assistance support, as well as prospectively defined value objectives, financial incentives, and appropriate protections.