Same contract, different results: What separates value-based care performers

Value-based care has entered the mainstream. The latest national measurement from AHIP found that nearly 45% of U.S. healthcare payments flowed through models holding providers accountable for quality and cost in 2024—nearly twice the share reported a decade earlier.

Yet two organizations can sign nearly identical risk-bearing contracts and produce dramatically different results. The gap is rarely the contract; it is the operating infrastructure behind it. Care management, data systems, financial discipline, and day-to-day workflows determine whether an organization can turn contractual accountability into better patient care and stronger financial performance.

For health system and medical group executives, the strategic question is not simply, “How much risk are we willing to accept?” It is, “How much risk can our operating infrastructure actually manage?”

The Value-Based Capability Curve provides a practical way for executives to answer that question. It’s five-part diagnostic reveals where an organization is equipped to perform, where its weakest capability could put results at risk, and what leaders need to strengthen before expanding accountability.

Download the whitepaper to:

  • Match financial accountability to the costs and outcomes your organization can reliably influence
  • Score five critical capabilities — population clarity, clinical controllability, data actionability, contract economics and financial resilience, and execution maturity –using a four-level maturity scale
  • Pinpoint the capabilities constraining current performance
  • Determine whether your organization is ready for greater downside risk—and what to strengthen first
  • Prepare for mandatory models, including CMS’ Ambulatory Specialty Model