Survey Shows Steady Rise in Value-Based Care Across Commercial Insurance, MA
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Nov 22, 2024
Alternative payment models (APMs), including value-based and accountable care, are growing across all lines of business, according to a survey from the Health Care Payment Learning & Action Network (HCP-LAN). Adoption of APMs increased from 41.3% in 2022 to 45.2% in 2023. Experts tell AIS Health, a division of MMIT, that while the results are encouraging, more work is needed to encourage adoption of value-based care arrangements, particularly in the commercial sector.
The annual survey, conducted by HCP-LAN in partnership with AHIP and the Blue Cross Blue Shield Association, gathered data from 73 health plans, four fee-for-service Medicaid states, and traditional Medicare. In 2023, 21.6% of commercial payments flowed through APMs with downside risk, in which providers are financially responsible for failing to meet quality and cost goals, compared to 16.5% in 2022. Medicare Advantage led the way with 43% of payments passing through downside-risk APMs in 2023 vs. 38.9% the previous year. Traditional Medicare had 33.7% of payments run through APMs in 2023 vs. 30.2% in 2022. And 21.1% of Medicaid payments flowed through APMs in 2023 vs. 18.7% in 2022.
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