14 health systems, insurers convert nearly half of business to value-based arrangements

The Health Care Transformation Task Force, a 41-member group that includes some of the nation's top health systems and payers, revealed Dec. 18 that members have made substantial progress toward transitioning to value-based payment arrangements.

At the end of 2017, the group's provider and payer members had put 47 percent of their business into such arrangements, based on survey responses from 14 of those members. That's up from 41 percent in 2016 and 30 percent in 2015.

The payment structures are designed to hold members accountable for lowering the cost of care, improving quality of care and ultimately improving the health of a population over a year or during a defined episode that spans multiple care sites. The task force members report on payment arrangements under a global budget, bundled payment or shared savings arrangement, or otherwise eligible under category 3 or 4 of the CMS Health Care Payment Learning and Action Network's alternative payment model framework.

"There is growing evidence that value-based care leads to better health, better care and reduced total cost. That's why our members remain focused on reaching the goal of 75 percent by 2020," said Fran Soistman, executive vice president and head of government services with Aetna and task force chair. "This report demonstrates task force members' commitment to accelerating the pace of transformation toward value-based care across the healthcare continuum."

The task force also revealed that its newest member is Norfolk, Va.-based Sentara Healthcare. Other group members include Aetna, Humana, St. Louis-based Ascension, San Francisco-based Dignity Health, Oakland, Calif.-based Kaiser Permanente, Boston-based Partners HealthCare and Livonia, Mich.-based Trinity Health.

Editor's note: This article was updated on Dec. 20 and Dec. 21.


More articles on healthcare finance:

Bipartisan action on surprise medical bills expected next year, senator says
6 recent RCM tips
HCA Healthcare, others see stocks fall on ACA ruling



Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.


Featured Whitepapers

Featured Webinars