The report, published Nov. 14, includes data from 73 health plans, accounting for around 92.8% of those insured in the commercial, Medicare Advantage, Medicaid and traditional Medicare markets.
Here are five key numbers to know:
- In 2023, 38.4% of healthcare dollars were spent in fee-for-service arrangements with no link to quality or value, down from 40.6% in 2022. According to the survey, 28.5% of healthcare dollars were spent in arrangements with downside risk, up from 24.5% in 2022.
- Medicare Advantage and Medicare had the highest share of payments with downside risk in 2023. In Medicare Advantage, 43% of payments were in models with downside risk in 2023, up from 39.9% in 2022.
- In traditional Medicare, 33.7% of payments were made in two-sided risk arrangements, up from 30.2% in 2022.
- The commercial market saw the largest growth in two-sided risk payments from 2022 to 2023. In the commercial market, 21.6% of payments were in two-sided risk models in 2023, up from 16.5% in 2022.
- In Medicaid, 21.1% of payments were in two-sided risk models in 2023, up from 18.7% in 2022.
Read more here.
