The federal government, through programs like Medicare, Medicaid, CHIP, TRICARE, and the VA, is the nation’s largest healthcare payer, shaping policy through reimbursement incentives. Recent reforms have shifted focus from volume-based to value-based care, rewarding quality and outcomes over quantity. Initiatives like the Merit-based Incentive Payment System (MIPS) and emerging Alternative Payment Models are transforming how and where care is delivered. With decades of experience in reimbursement policy, Capitol Associates guides clients through these evolving systems, helping organizations align their priorities with federal trends and understand the impact of major healthcare policy changes.