They’re Not Just “Little Adults” ― Value-Based Payment Models that Include Children Must Focus on Their Needs

This brief identifies key themes and policy considerations to help Massachusetts implement value-based payment (VBP) models that better meet children’s needs. As VBP becomes widespread, including in state Medicaid programs, VBP programs increasingly include children. However, the majority of VBP programs serving children are very similar, if not identical, to models focused on adults ― essentially treating them like “little adults.” While the brief focuses on Massachusetts’ context, it also explores approaches from across the country and shares insights that could be applicable for VBP models serving children nationwide.