A recent survey by the Health Care Payment Learning & Action Network (HCP-LAN), in collaboration with AHIP and the Blue Cross Blue Shield Association (BCBSA), highlights a significant move by health insurance plans towards value-based care (VBC) arrangements. These models aim to enhance care quality while controlling costs.AHIP+1AHIP+1

Key Findings:

• Growth in Value-Based Arrangements: In 2023, value-based care arrangements encompassed 45.2% of all health plan payments, up from 41.3% in 2022.
  
• Increase in Shared Risk Models: Shared risk arrangements rose from 24.5% in 2022 to 28.5% in 2023, indicating a growing commitment to payment models that reward outcomes over volume.
  
• Medicare Advantage as a Leader: Medicare Advantage plans continue to spearhead innovation in adopting VBC models.AHIP+1AHIP+1AHIP

Danielle Lloyd, MPH, AHIP’s Senior Vice President of Private Market Innovations and Quality Initiatives for Clinical Affairs, remarked:AHIP

“The survey’s findings demonstrate a critical way in which health plans are leading the way to promote better care and greater affordability for patients.”AHIP

This trend underscores a broader industry commitment to transitioning from traditional fee-for-service models to value-based systems that prioritize patient outcomes and cost-effectiveness.

Read the full article on AHIP’s website:

Survey Shows Health Plans Are Expanding Value-Based Arrangements