C-suite survey: Adoption of risk-based models slower than anticipated

Healthcare organizations continue to adopt value-based payment models, but this adoption is occurring at a slower pace than previously anticipated, according to a Numerof & Associates population health survey.

For the survey, Numerof, in collaboration with David Nash, MD, dean of the Jefferson College of Population Health in Philadelphia, examined how fast healthcare is adopting population health strategies and moving toward value-based care.

The survey, fielded in 2017, involved more than 400 C-suite healthcare executives as well as interviews with selected executives at U.S. healthcare delivery organizations.

Here are five findings.

1. In the previous two years Numerof conducted the survey, respondents estimated they would see a significant increase regarding their involvement in risk-based agreements. But this year's third annual survey suggests respondents overestimated their likely future involvement in such agreements. For example, in Numerof's first survey conducted in 2015, more than 50 percent of respondents said their organizations would have at least 40 percent of revenue in risk-based agreements by 2017. However, just 16 percent of respondents to the 2017 survey reported such agreements.

2. Ninety-nine percent of respondents estimated their organization will have some revenue in at-risk agreements in two years, according to the survey. Additionally, respondents, on average, said they expect 15 percent revenue growth due to at-risk agreements in the next two years.

3. Most large hospitals and/or health systems (91 percent) reported at least one at-risk contract. This is more than the 85 percent reported by mid-sized institutions and 71 percent reported by smaller institutions. Numerof notes smaller organizations also "tend to have more revenue at risk than medium and large hospitals."

4. The survey found 25 percent of respondents said the threat of financial losses is a barrier to moving to a risk-based model, making it the leading concern among C-suite executives with regards to adopting risk-based models. Uncertainty regarding the timing of the transition, and issues with systems such as IT tracking and management tied for the second most common concern reported by respondents at 12 percent each.

5. More than half of respondents (58 percent) said their organization was average or below average when it comes to the ability to manage variation in cost, and 39 percent said their organization's ability to manage variation in quality was average or below average.

Access the full findings here.



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