Health Plans See Rural Areas as Fertile Ground for Value-Based Arrangements
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Feb 28, 2025
Health plans are increasingly looking to adopt value-based care initiatives with specialists and clinicians in rural areas, according to executives who spoke Feb. 24 at the virtual Value-Based Payment Summit. While they noted it is challenging getting physicians to move away from a fee-for-service arrangement, the speakers said they have made strides among primary care practices that have become accustomed to risk-sharing reimbursement arrangements for several years.
Ross Lagerblade, associate vice president of value-based strategies at Humana Inc., said about 70% of the insurer’s members are aligned with providers that participate in value-based payment arrangements. The insurer mostly works with primary care physicians on value-based care, but Lagerblade said the company has begun working with specialists in oncology, kidney disease and other areas on efforts to tie reimbursement to quality and cost savings. Still, those specialists are not in two-sided risk arrangements.
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