Value-based care is saving payers billions: 4 programs to know

Some payers are reporting big savings with value-based care efforts. 

Though the number of healthcare dollars tied to value-based arrangements has increased, a report from the Healthcare Payment Learning and Action Network found around 40 percent of healthcare dollars in 2021 were still tied to fee-for-service-only arrangements. 

Here are four successful value-based programs to note: 

  1. Highmark's value-based reimbursement program for primary care physicians, True Performance, has saved more than $3 billion in avoided costs in Pennsylvania, Delaware and West Virginia since its launch in 2017. In 2022, the program saved $632 million in inpatient conditions and $106 million in emergency visits, Highmark said.

  2. Florida Blue's ACO with Aledade, a network of independent primary care providers, has resulted in millions in shared savings for participating providers and improved health outcomes for 41,000 members in the program's first two years. The value-based collaboration led to nearly $14 million in shared savings for 59 participating primary care practices, federally qualified health centers, rural health clinics and multispecialty clinics, according to Florida Blue.

  3. Blue Cross and Blue Shield of North Carolina's Blue Premier program has saved nearly $650 million in healthcare costs since it was launched in 2019. The value-based contracting program saved around $164 million in healthcare costs in 2022, according to a news release. Providers earned $117 million in shared savings through the program in 2022.

  4. Blue Cross and Blue Shield of Minnesota's value-based care agreement with Minnesota Oncology has resulted in big savings for members. The Eagan, Minn.-based payer said the value-based contract resulted in total care costs that were 10 percent lower than average for the Minneapolis-St. Paul oncology market. 

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