Seven years into the Centers for Medicare and Medicaid�s Hospital Value-Based Purchasing Program (VBP), most hospitals are coming to terms with the demise of lucrative fee for service reimbursement, which rewarded them for care quantity vs. quality. VBP incentivizes providers to close gaps in care and engage patients in their own care, while removing incentives to overtreat. Health systems receive positive payment adjustments for improving patient health status.