Payers estimate 59% of payments will be value-based by 2021: 5 quick stats

Value-based reimbursement models are taking root at hospitals, health systems and health insurance companies across the nation.  

That finding comes from a new study conducted by ORC International and commissioned by McKesson Health Solutions. The study surveyed more than 465 payers and hospitals about their transition to value-based care models thus far. It is a follow-up to McKesson's 2014 VBR benchmarking survey.

Below are five statistics to know.

1. Overall, payers reported they are now 58 percent along the continuum toward full value-based reimbursement, up from 48 percent reported in 2014.

2. Hospitals said they are about 50 percent along the continuum, up from 46 reported in 2014.

3. Payers reported that 59 percent of all payment models within the next five years will be a mix of capitation, pay for performance and episodic payment. They projected bundled payments to grow at a rate of around 6 percent during the same period, outpacing both capitation and shared risk models.

4. As value-based payment models become more prevalent, more than 60 percent of payers said they have changed their network strategies since 2014. Fifty-three percent use tiered plans, 42 percent use narrower networks and more than 80 percent said they are more selective about the hospitals included in their networks.

5. This year, 63 percent of hospitals surveyed said they are part of an accountable care organization, an 18 percent increase from 2014. Among those that did not currently belong to an ACO, about 47 percent anticipated joining one within five years.  


Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.


Top 40 articles from the past 6 months