Healthcare Value-Based Purchasing Enrollment Form

Streamline Value-Based Care Enrollment with Paperform

Value-based purchasing (VBP) represents a fundamental shift in healthcare payment models—from volume to value. This Healthcare Value-Based Purchasing Enrollment Form template is designed for healthcare organizations, ACOs, medical groups, and payers transitioning to quality-driven reimbursement models.

Whether you're a hospital administrator enrolling providers in a shared savings program, a medical group joining an ACO, or a health plan managing VBP contracts, this template captures all the critical information needed: organizational details, quality measure commitments, cost containment strategies, performance targets, and shared savings distribution models.

Built for healthcare administrators, payers, and provider organizations, this form replaces lengthy PDF applications and email chains with a professional, HIPAA-aware enrollment process. The structured format ensures you capture baseline metrics, risk stratification preferences, reporting requirements, and financial arrangement details upfront—setting the foundation for successful value-based care partnerships.

With Paperform's conditional logic, you can customize the enrollment flow based on organization type, program model (shared savings, bundled payments, capitation), and risk level. Integrate directly with your CRM or practice management system to keep enrollment data synchronized, and use Stepper to automate post-submission workflows like contract generation, compliance verification, and onboarding task assignment across your care coordination teams.

This template supports multiple VBP models including MSSP, Next Gen ACO, bundled payments, and commercial value-based contracts. It's designed to facilitate transparent partnerships while ensuring all parties understand quality benchmarks, financial incentives, and reporting obligations from day one.