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Value Modifier

Metadata Updated: October 7, 2025

The Medicare Value-Based Payment Modifier (Value Modifier) data contains the performance results of de-identified practices that were subject to the Value Modifier, such as the practices' quality and cost tiers along with any applicable Value Modifier payment adjustment. The Value Modifier provided for differential payment under the Medicare Physician Fee Schedule based on the quality of care furnished to Medicare beneficiaries compared to the cost of care during a performance period. Calendar Year 2015 was the first payment adjustment period under the Value Modifier based on performance in 2013. Calendar Year 2018 was the final payment adjustment period under the Value Modifier based on performance in 2016.

Access & Use Information

Public: This dataset is intended for public access and use. License: See this page for license information.

Downloads & Resources

References

http://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology

Dates

Metadata Created Date October 7, 2025
Metadata Updated Date October 7, 2025
Data Update Frequency R/P1Y

Metadata Source

Harvested from Healthdata.gov

Additional Metadata

Resource Type Dataset
Metadata Created Date October 7, 2025
Metadata Updated Date October 7, 2025
Publisher Centers for Medicare & Medicaid Services
Maintainer
Identifier http://data.cms.gov/data-api/v1/dataset/c3e8e9c3-5193-47fb-a5bb-d3ddb00e7197/data-viewer
Data First Published 2025-10-07
Language en-US
Data Last Modified 2025-09-11
Category Medicare
Public Access Level public
Data Update Frequency R/P1Y
Bureau Code 009:38
Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
Metadata Catalog ID https://healthdata.gov/data.json
Schema Version https://project-open-data.cio.gov/v1.1/schema
Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
Data Quality True
Data Dictionary http://data.cms.gov/resources/value-modifier-data-dictionary
Harvest Object Id 23cd7945-4336-4c57-aa3a-4b53ec9d23f9
Harvest Source Id 651e43b2-321c-4e4c-b86a-835cfc342cb0
Harvest Source Title Healthdata.gov
Homepage URL http://data.cms.gov/medicare-value-based-payment-modifier-program/value-modifier
License https://www.usa.gov/government-works
Program Code 009:000
Related Documents http://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology
Source Datajson Identifier True
Source Hash 7858a0737a7b8f1c5407438275a6baf01ba4f31f44b9c5dfebb5e1cf1243965a
Source Schema Version 1.1
Temporal 2013-01-01/2016-12-31

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