During calendar year 2023, about 28.5% of reimbursement to health care provider organizations was through a contract with downside financial risk, up from 19% in 2021 and 24.5% in 2022. All payer types increased the percentage of provider organization payments through a contract with downside risk. For commercial payers, the percentage of payments through downside risk contracts increased from 12.7% in 2021 to 21.6% in 2023. For Medicaid, the payment percentage increased from 16.6% to 21.2%. For traditional Medicare, the payment percentage increased from 24.0% to 33.7%. For Medicare Advantage payers, the . . .

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