Out of six value-based care models, accountable care organizations are set to become the most widespread model among health plans, according to a recent report sponsored by Availity.
The report, "Health Plan Readiness to Operationalize Value-Based Payment Models," defined value-based models as ACOs, patient-centered medical homes, payment for coordination, pay-for-performance for physicians and hospitals and bundled payments.
Health plan leaders were asked in telephone interviews what their implementation plans were for all six value-based models. Of 39 respondents, 87 percent said they either had implemented or were planning to implement an ACO in the next 12 to 18 months.
The following is a breakdown of responses by model.
ACO
No plans: 13 percent
Currently implemented: 47 percent
Planning to implement: 40 percent
PCMH
No plans: 19 percent
Currently implemented: 62 percent
Planning to implement: 19 percent
Payment for coordination:
No plans: 34 percent
Currently implemented: 46 percent
Planning to implement: 20 percent
Hospital pay-for-performance
No plans: 37 percent
Currently implemented: 45 percent
Planning to implement: 18 percent
Physician pay-for-performance
No plans: 23 percent
Currently implemented: 67 percent
Planning to implement: 10 percent
Bundled payment
No plans: 42 percent
Currently implemented: 24 percent
Planning to implement: 34 percent
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The report, "Health Plan Readiness to Operationalize Value-Based Payment Models," defined value-based models as ACOs, patient-centered medical homes, payment for coordination, pay-for-performance for physicians and hospitals and bundled payments.
Health plan leaders were asked in telephone interviews what their implementation plans were for all six value-based models. Of 39 respondents, 87 percent said they either had implemented or were planning to implement an ACO in the next 12 to 18 months.
The following is a breakdown of responses by model.
ACO
No plans: 13 percent
Currently implemented: 47 percent
Planning to implement: 40 percent
PCMH
No plans: 19 percent
Currently implemented: 62 percent
Planning to implement: 19 percent
Payment for coordination:
No plans: 34 percent
Currently implemented: 46 percent
Planning to implement: 20 percent
Hospital pay-for-performance
No plans: 37 percent
Currently implemented: 45 percent
Planning to implement: 18 percent
Physician pay-for-performance
No plans: 23 percent
Currently implemented: 67 percent
Planning to implement: 10 percent
Bundled payment
No plans: 42 percent
Currently implemented: 24 percent
Planning to implement: 34 percent
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