Value-Based Purchasing The Center for Medicareand Medicaid Services (C.M.S.) began phasing in its value-basedpurchasing program in 2007. Value based purchasing linkspayment directly to the quality of care provided. It is onestrategy being used by C.M.S. to transform the current paymentsystem by rewarding providers for delivering high qualityefficient clinical care. There are three aspectsto the program: patient experience hospital-acquired conditionsand achievement of expected treatment for specific clinicaldiagnoses. Select one of thefollowing hospital-acquired conditions: