Value Modifier

Name: Value Modifier
Published: 2026-01-15
License: https://creativecommons.org/share-your-work/public-domain/pdm

Principal Investigator(s): View help for Principal Investigator(s) Centers for Medicare and Medicaid Services; United States Department of Health and Human Services

Version: View help for Version V1

Name	File Type	Size	Last Modified
Value_Modifier_PUF_Performance_Year_2013.csv	text/csv	65.1 KB	01/10/2026 11:33:PM
Value_Modifier_PUF_Performance_Year_2014.csv	text/csv	970.8 KB	01/10/2026 11:33:PM
Value_Modifier_PUF_Performance_Year_2015.csv	text/csv	14.5 MB	01/10/2026 11:33:PM
Value_Modifier_PUF_Performance_Year_2016.csv	text/csv	14.6 MB	01/10/2026 11:33:PM
dataset_metadata.json	application/json	5.6 KB	01/15/2026 03:07:PM

Project Citation:

Centers for Medicare and Medicaid Services, and United States Department of Health and Human Services. Value Modifier. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2026-01-15. https://doi.org/10.3886/E244264V1

Project Description

Project Title: Value Modifier

Summary: 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. Note: The Merit-based Incentive Payment System (MIPS) under the Quality Payment Program has replaced the Value Modifier program. CMS encourages everyone to learn more about the Quality Payment Program, https://qpp.cms.gov/.

Original Distribution URL: https://data.cms.gov/medicare-value-based-payment-modifier-program/value-modifier

Scope of Project

Subject Terms: Medicare; CMS; Original Medicare; Value-Based Care; Payment Models

Geographic Coverage: United States

Time Period(s): 1/1/2016 – 12/31/2016

Data Type(s): administrative records data

Collection Notes: (Downloaded 2026-01-10)

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Published Versions

V1 [2026-01-15]

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Dublin Core

DDI 2.5

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