Value-based payment (VBP) models pay health care providers based on the value rather than the volume of services. Use of these models has been concentrated in physical health services. However, due to the magnitude of substance use disorders (SUDs) in the United States, there has been a growing movement toward using VBP for SUD treatment and recovery services. VBP models have the potential to improve delivery of the integrated and coordinated care necessary for the complex and continuing needs of individuals with SUDs. This report explores the use of VBP for SUD services in the United States. Chapter 1 provides background about VBP and alternative payment models (APMs) and SUD treatment needs. Chapter 2 summarizes evidence for each state’s current progress toward implementing VBP for SUD services through a review of publicly available resources and documentation. Chapter 3 discusses the major challenges to adopting VBP for SUD services and offers potential solutions to help overcome them.
Publication No. PEP23-06-07-001
Released 2023