Value-based reimbursement (VBR) adoption over the past decade has been moving like a glacier—steadily increasing and changing markets in its path. Right now, a third of provider organizations report 25% or more of their revenue is tied to value-based care.;But 20% report more than half of their revenue comes from fully capitated or downside risk contracts, and 13% have surpassed the 50% VBR revenue mark, according to a recent report,;The State And Science Of Value-Based Care 2025.

For specialty provider organizations, 50% reported under 40% of their revenue from value-based arrangements . . .

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Managed Care & Value-Based Reimbursement

The impending shift to value-based reimbursement (VBR) and managed care in the health and human services industry has become a driving force across both public and private sector organizations, not only forcing new operating models and systems, but pushing providers to develop new partnerships with payers and to prepare for population health management. This shift presents organizational, technical, and cultural challenges that require a robust technology infrastructure, data-driven decisionmaking, and new leadership competencies. As behavioral health provider organizations move towards risk-based contracts, those who adapt to this change will have a better opportunity to carry forward in the provision of value-based services.


On May 2, 2025, the Arizona Health Care Cost Containment System (AHCCCS) announced it had entered a settlement agreement and awarded four contracts for the Arizona Long Term Care System-Elderly and/or Physically Disabled (ALTCS-EPD) program. The settlement agreement resolves a procurement protest. The awardees are Arizona Physicians IPA, Inc. (dba UnitedHealthcare Community Plan); Banner-University Care Advantage (dba Banner-University Family Care); Mercy Care, and Bridgeway Health Solutions of Arizona, Inc. (dba Arizona Complete Health-Long Term Care).… Read