BH Value-Based Care Contracts — 2026 CFO Playbook

Value-based care (VBC) contracts are moving from primary care into BH in 2026. CMS Innovation Center + state Medicaid pilots + commercial payer risk-sharing arrangements are all launching BH VBC models.

The 4 BH VBC Contract Types

1. Shared savings — Split cost savings vs. benchmark with payer
2. Bundled payments — Fixed price per episode of care (SUD residential, IOP course)
3. Global capitation — Per-member-per-month for defined population
4. Pay-for-performance — Bonus tied to outcome metrics (depression response rates, SUD retention)

CFO Financial Framework

Model FFS vs. VBC breakeven. Understand risk band. Reserve for downside scenarios. Track quality metrics that drive payment.

Case Study

$1.04M case study

Free audit

– KD, Revenant Care