Nearly 60% of health systems surveyed plan to become “payviders” in 2022 - defined as an organization that both delivers services and accepts financial risk for health benefits. Overall, 59% of health systems intend to advance risk-based contracts with Medicare Advantage plans. A total of 52% of health systems plan to advance risk-based contracts with commercial health plans, and 49% of health systems intend to advance risk-based contracts with the Centers for Medicare & Medicaid Services (CMS) Alternative Payment Model.
Health system executives are aware of challenges creating and implementing risk-based models. They report internal challenges with . . .