Download Resource (PDF Download) A year ago, I wasn't sure if the move to value-based reimbursement would continue at the same pace as the past few years. Much of the push for value started with the Patient Protection and Affordable Care Act (PPACA) and was continued by supportive Centers for Medicare and Medicaid Services (CMS) policies. Those models have certainly been embraced by commercial health plans—but Medicare and Medicaid represent the big spending in the U . . .