Value-Based Reimbursement Models Used For Over Half Of Health Plan Payments

Health care payers in the United States report that 58% of their business is reimbursed using value-based reimbursement models, up from 48% in 2014. Hospitals report that about 50% of their business is via value-based reimbursement, up from 46% in 2014.

Value-based reimbursement includes capitation rates; pay-for-performance models that reward provider organizations for meeting performance goals for care quality and efficiency; and episodes of care. The payers included health insurers or health plans offering commercially focused products, and health insurers and health plans offering Medicare Advantage plans and managed Medicaid plans.

Larger payers reported greater . . .