Moving Beyond Fee-For-Service With Health Plans: Essential Elements To Getting Paid For Value

Slowly but surely, value-based reimbursement (VBR) is happening in the specialty provider marketplace. 40% of specialty provider organizations reported participating in a VBR contract (an increase of 13% from the previous year) according to our 2022 OPEN MINDS Performance Management Executive Survey. But, only 10% of specialty provider organizations have 20% or more of their total revenues in VBR contracts.

But behavioral health provider organizations are lagging in the move away from fee-for-service (FFS) contracts to VBR as compared with other health care specialties. 80% of health plans reported paying cardiovascular specialists using some value-based contract . . .