TRICARE is adopting the Centers for Medicare and Medicaid Services (CMS) HVBP for hospitals, skilled nursing facilities and other institutional providers under the Inpatient Prospective Payment System (IPPS). This program will apply a claim-by-claim adjustment factor to the base Diagnosis Related Group (DRG) payment for claims in the fiscal year associated with the acute care hospital's performance period. The adjustment factor can be found in the CMS IPPS Final Rule Table
Exclusions include those facilities not included in the IPPS:
See the TRICARE Reimbursement Manual (TRM), Chapter 1, Section 41 for more information.