Value-Based Care Solutions for Healthcare Providers
Value-Based Care Solutions for Healthcare Providers
Now more than ever, the industry is demanding better quality and more cost-effective care.
Value-based care (VBC) solutions can help healthcare provider organizations feel more prepared to effectively adjust to VBC reimbursement models, while they take steps to protect and grow their margins, develop strategies to maximize their people and technology investments and improve health outcomes for their patients.
Market trends: The journey to value-based care
Every year, the Health Care Payment Learning & Action Network (HCPLAN) undertakes a national initiative to evaluate the adoption of alternative payment models (APMs) over time and monitor progress toward its objectives. Since its inception in 2015, the Measurement Effort has expanded to include data from a substantial sample of health plans, covering nearly 80% of Americans. This initiative now provides the most comprehensive snapshot available for assessing advancements in payment reform.
While 59% of spending is still going to fee for service models, 41% of spending have transitioned to sophisticated VBC arrangements, which is expected to continually increase
Medicare advantage is leading the way by spending 57% of dollars in APMs by VBC arrangements, followed by Medicare (42%), Medicaid (40%) and commercial (35%).
