A recent national study of state government programs finds more than 40 states strategically invested in value-based payment models, 23 with targets or mandates, and just 7 states trailing the trend. The study commissioned by Change Healthcare reveals 23 states have value-based targets or mandates that payers and providers agreed to achieve, 17 have or are considering adoption of ACOs or ACO-like entities, and 12 have or are considering episodes of care programs. Just 7 states have little to no activity around value-based payment models.
Value-Based Reimbursement State-by-State is based on an analysis of publicly available information compiled from May through October 2017. The study relies on information gleaned from primary sources, including state resources, federal government resources, and contractors that participate in state-initiated value-based payment programs. In addition, data available from secondary sources was reviewed, including research reports from healthcare industry analysts; mainstream, business, and trade media; and think tanks, public policy institutes, and research institutes.
Readers can explore a wide range of approaches taken by the states as well as examine significant variation in levels of sophistication, leadership commitment, and resources devoted to the transition from fee-for-service to alternative payment models.
Infographic shown below summarizes findings of the Value-Based Reimbursement State-by-State report from Change Healthcare. The full report is available for download at StateVBRstudy.com.