Value in Health Care Act of 2023

The Value in Health Care Act of 2023 simplifies participation in Medicare's Shared Savings Program for care coordination groups (like hospital-doctor networks). It removes barriers for smaller or rural groups by eliminating separate rules for "low" and "high" revenue groups, requiring benchmarks to exclude their own spending data, and creating a new 100% shared savings option where providers keep all savings but also bear full risk for losses. The bill adjusts payment thresholds for providers over time, gradually increasing the percentage of savings they can keep (starting at 50% for 2026-2027), and mandates technical support for rural or underserved providers. It directly affects Medicare ACOs and doctors/hospitals participating in value-based payment models, aiming to make cost-saving incentives more accessible and predictable.