The proportion of U.S. health care reimbursement dollars paid in advanced value-based reimbursement (VBR) models—contracts with shared savings, downside financial risk, and/or population-based payments—just passed 40%. The slow adoption of VBR with financial gain sharing and downside risk sharing—along with the unique challenges to specialty provider organizations in participating in these arrangements—may cause executive teams to think there isn't much movement. But this development is glacial—slow but changing the landscape along the way.

In addition to the national snapshot of reimbursement patterns, the recent survey by the Health Care Payment . . .

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