48 states use value-based care and payment models, study shows

Value-based care and payment programs are picking up speed across the U.S., with nearly all states now implementing them, according to a study published by Change Healthcare.

The national study of state healthcare payment programs examined progress made in the last 18 months.

Researchers found that the number of states and territories implementing these programs has increased sevenfold in the last five years.

In total, 48 states and territories, including the District of Columbia and Puerto Rico, have now implemented them. 

Of the value-based care initiatives implemented, half are multipayer in scope, and only four states have had little or no value-based payment activity, according to the study. Eight states are in the early stages of developing value-based payment strategies, and six have implemented such strategies for four years or longer. Thirty-four states have initiatives two or more years into implementation.

Researchers said the study also showed 22 states have accountable care organizations and ACO-like entities in place or are considering them, and 16 states have established or have plans for bundled-payment programs.

The study singles out New York, Pennsylvania and Vermont for their “breadth of initiatives, embrace of payment models that involve shared risk and willingness to test innovative strategies.”

Access the study findings here.


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