• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to secondary sidebar
  • Skip to footer

  • Opinion
  • Health IT
    • Behavioral Health
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Patient Engagement
    • Population Health Management
    • Revenue Cycle Management
    • Social Determinants of Health
  • Digital Health
    • AI
    • Blockchain
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • M&A
  • Value-based Care
    • Accountable Care (ACOs)
    • Medicare Advantage
  • Life Sciences
  • Research

Survey: Executives Predict Accelerated Shift to Value-based Payments in 2019

by Jasmine Pennic 02/20/2019 Leave a Comment

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

Survey: Executives Predict Accelerated Shift to Value-based Payments

According to a recent Lumeris-sponsored survey, forty-six percent of healthcare executives believe their organization’s pace of change toward value-based payment is moving quickly or very quickly, up 14 points from Q2 2018. Additionally, sixty-two percent of health systems indicated that they plan to assume additional risk in the next 12 months.

Of these, ACOs (46%), Medicare Advantage (31%), and bundled payments (23%) were common methods for increased risk assumption. The Lumeris-sponsored survey confirms that fee-for-service payments still account for the majority of care delivery but payments are increasingly tied to value. 

Survey Background/Methodology

This survey of leading health systems was conducted by The Health Management Academy and sponsored by Lumeris. The responding C-suite executives represent health systems with median revenue of $3.8 billion and own or operate 172 hospitals with over 34,250 beds.

Here are four things to know about this report: 

1. Movement Towards Value-Based Care Remains Slow 

The movement toward value-based care at Leading Health Systems remains slow in Q3 2018, with value-based payments comprising 22% of care delivery. Fee-for-service payments still account for the majority (78%) of care delivery, though this percentage has decreased five percentage points over the last year. Health system executives expect modest growth in value-based care in the next year, projecting an average of 25% of care to be delivered through value-based payment arrangements by Q3 2019.

2. Value-based Metrics Tied to Compensation

Reflective of health systems’ continued movement toward value-based payment models and to ensure alignment across the organization, most (81%) health systems have adjusted compensation structures to include value-based metrics for employees, including physicians, nurses, executive leadership, and/or C-suite executives. 

Most executives indicate value-based metrics are included in physician and leadership compensation plans, most often tied to the organization’s incentive plan.

3. Prioritizing Consumer Loyalty

Health systems understand the total cost of care for Medicare patients, with 50% reporting that they understood the cost well or very well.

– Health systems indicated they best understand the cost of care Medicare patients in specific value-based payment arrangements (e.g., Medicare ACOs, Medicare Advantage)

– Cost of care for other payers, such as Medicaid and private commercial payers, were more opaque

Almost all health systems have plans in place to prepare for and evaluate the impact of proposed policies that would cut payment rates to outpatient hospital departments to 40% of current rates, as a broader push towards site neutrality. Most health systems intend to move away from hospital-based outpatient care and focus on providing care in lower cost settings.

“Looking at our business model, I think this is the right thing. Site neutrality changes are actually a good thing for healthcare—as both a patient and a consumer. One of our top priorities is to move to full risk by 2021.” (CSO)

  • LinkedIn
  • Twitter
  • Facebook
  • Email
  • Print

Tagged With: Value-Based Care, Value-Based Payment Models

Tap Native

Get in-depth healthcare technology analysis and commentary delivered straight to your email weekly

Reader Interactions

Primary Sidebar

Subscribe to HIT Consultant

Latest insightful articles delivered straight to your inbox weekly.

Submit a Tip or Pitch

Featured Insights

 Selecting the Right EMR: A Practical Guide to Streamlining Your Practice and Enhancing Patient Care

Selecting the Right EMR: A Practical Guide to Streamlining Your Practice and Enhancing Patient Care

Featured Interview

Virta Health CEO: GLP-1s Didn’t Kill Weight Watchers, Its Broken Model Did

Most-Read

Meaningful Use Penalties_Meaningful Use_Partial Code Free_Senators Urge CMS to Establish Clear Metrics for ICD-10 Testing

CMS Finalizes TEAM Model: A New Era of Value-Based Surgical Care

White House Event Unveils CMS Health Tech Ecosystem Initiative

White House Event Unveils CMS Health Tech Ecosystem Initiative

Digital Health Faces Q2'25 Pullback: Funding Falls to 5-Year Low, But AI Dominates and $1B+ IPOs Emerge

Healthcare Investment Shifts in 1H 2025: AI Remains a Bright Spot Amidst Fundraising Decline

Digital Health Faces Q2'25 Pullback: Funding Falls to 5-Year Low

Digital Health Faces Q2’25 Pullback: Funding Falls to 5-Year Low

Beyond the Hype: Building AI Systems in Healthcare Where Hallucinations Are Not an Option

Beyond the Hype: Building AI Systems in Healthcare Where Hallucinations Are Not an Option

Health IT Sector Navigates Policy Turbulence with Resilient M&A

Health IT’s New Chapter: IPOs Return, Resilient M&A, Valuations Rise in 1H 2025

PwC Report: US Medical Cost Trend to Remain Elevated at 8.5% in 2026

PwC Report: US Medical Cost Trend to Remain Elevated at 8.5% in 2026

Philips Launches ECG AI Marketplace, Partnering with Anumana to Enhance Cardiac Care with AI-Powered Diagnostics

Philips Launches ECG AI Marketplace, Partnering with Anumana to Enhance Cardiac Care with AI-Powered Diagnostics

WeightWatchers Emerges from Bankruptcy, Launches New Menopause Program

WeightWatchers Emerges from Bankruptcy, Launches New Menopause Program

CMS Finalizes New Interoperability and Prior Authorization Rule

CMS Proposes 2026 Physician Fee Schedule Rule: Boosting Primary Care, Cutting Waste, and Modernizing Payments

Secondary Sidebar

Footer

Company

  • About Us
  • Advertise with Us
  • Reprints and Permissions
  • Submit An Op-Ed
  • Contact
  • Subscribe

Editorial Coverage

  • Opinion
  • Health IT
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Population Health Management
    • Revenue Cycle Management
  • Digital Health
    • Artificial Intelligence
    • Blockchain Tech
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • Value-Based Care
    • Accountable Care
    • Medicare Advantage

Connect

Subscribe to HIT Consultant Media

Latest insightful articles delivered straight to your inbox weekly

Copyright © 2025. HIT Consultant Media. All Rights Reserved. Privacy Policy |