Alternative payment programs are now firmly rooted in state-level healthcare policy, as discussions regarding health reform continue in Washington. That’s according to a new national study commissioned by Change Healthcare which finds over 40 states pursuing value-based payment programs, with 15 multi-payer initiatives across those states.
Moreover, 23 states have value-based targets or mandates that payers and providers agreed to achieve, 17 have or are considering adoption of ACOs or ACO-like entities, and 12 have or are considering episodes of care programs. Just 7 states have little to no activity around value-based payment models.
These insights and more are revealed in Value-Based Reimbursement State-by-State. Published by Change Healthcare, the report and accompanying state-by-state matrix provide a detailed accounting of the alternative payment landscape in all 50 U.S. states plus Puerto Rico and the District of Columbia.
Readers can explore a wide range of approaches taken by the states as well as examine significant variation in levels of sophistication, leadership commitment, and resources devoted to the transition from fee-for-service to alternative payment models.
Value-Based Reimbursement State-by-State is based on an analysis of publicly available information compiled from May through October 2017. The study relies on information gleaned from primary sources, including state resources, federal government resources, and contractors that participate in state-initiated value-based payment programs. In addition, data available from secondary sources was reviewed, including research reports from healthcare industry analysts; mainstream, business, and trade media; and think tanks, public policy institutes, and research institutes.