Majority of payers are using outcomes-based contracts, survey finds

Over half of payers had at least one outcomes-based contract in 2022, according to a survey from Avalere. 

The survey, published April 5, asked 46 health plans about their use of and attitudes toward value-based contracts. Of the payers surveyed, 58 percent said they had at least one outcomes-based contract in 2022, and 35 percent had more than 10 outcomes-based contracts. 

Around 15 percent of payers surveyed said they are in negotiations or planning to undertake outcomes-based contracts. 

Oncology, cardiology and endocrinology were the most common therapeutic areas where payers entered outcomes-based contracts, the survey found. 

Around three in four payers with outcomes-based contracts said they prefer contracts that include both claims-based and clinical-based outcomes. 

See the full survey here.

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