Story by Connor Danielowski / August 4, 2025
Value-based care (VBC) has become a central pillar of healthcare reform in the United States. Since its introduction, the Centers for Medicare & Medicaid Services (CMS) has steadily shifted from fee-for-service (FFS) models toward care delivery frameworks that emphasize quality, outcomes, and efficiency. As we look ahead to 2030, CMS’s commitment to value-based care is not only expected to intensify – it will reshape how providers, payers, and patients experience the healthcare system.
Here’s what healthcare professionals, clinical partners, and care management teams should be preparing for over the next five years.
By 2030, CMS aims to have every Medicare beneficiary and the vast majority of Medicaid enrollees in some form of value-based arrangement. This includes both voluntary and mandatory models, covering everything from Accountable Care Organizations (ACOs) to bundled payments, capitation, and risk-sharing contracts.
Organizations that haven’t yet participated will likely be required to adopt VBC frameworks – especially as CMS introduces more aggressive timelines for mandatory participation. Those already engaged in value-based care should expect expanded scope, tighter metrics, and deeper integration with population health efforts.
CMS has made it clear that advancing health equity is central to the future of value-based care. By 2030, payment models will likely incorporate equity-focused quality metrics, stratified reporting by race, ethnicity, and social determinants of health (SDOH), and new incentives for closing care gaps in underserved populations.
Providers will need to build infrastructure to identify, track, and address disparities – and care teams will be expected to demonstrate real-world improvements in equitable outcomes.
The use of digital health tools, such as Remote Patient Monitoring (RPM), Chronic Care Management (CCM), and telehealth, is becoming a standard part of value-based workflows. By 2030, these technologies won’t just be optional enhancements – they’ll be essential to meeting the requirements of CMS care models.
Expect CMS to continue refining billing codes, promoting interoperability, and prioritizing solutions that reduce administrative burden while enhancing clinical insights. Clinical staffing partners who support virtual care management, like Chronic Care Staffing, will play a crucial role in extending access and improving care coordination across dispersed populations.
By the end of the decade, value-based care will demand a real-time understanding of clinical performance and cost data. CMS is pushing for interoperability, API-driven systems, and integration across EHR platforms and third-party vendors.
Providers will need teams who can support both clinical documentation accuracy and real-time reporting, enabling faster insights and quicker adjustments to meet performance benchmarks. The staffing strategy of the future must include professionals skilled in data analysis, quality reporting, and regulatory compliance.
The next evolution of value-based care will further decentralize traditional care settings. CMS has shown interest in expanding support for hospital-at-home programs, community paramedicine, and in-home primary care – especially for patients with complex chronic conditions.
As a result, care teams will need to adapt to new workflows, including mobile nursing, virtual rounding, and community outreach. Chronic Care Staffing is already helping healthcare organizations extend their footprint into the home, and we anticipate this need will accelerate through 2030.
The future of CMS value-based care is one of deeper accountability, broader participation, and technology-enabled delivery. Success will depend not only on adapting to regulatory changes, but also on building the workforce, data systems, and care models that align with CMS’s ambitious vision.
At Chronic Care Staffing, we are committed to helping organizations navigate this transformation with the right people and the right processes. As 2030 approaches, strategic staffing and care coordination will be more important than ever in achieving the promise of value-based care.
Contact us today to learn more or schedule a consultation to see our solutions for providers!
