Survey: Physician Practices Struggle as Value-Based Care Pressures Mount

On July 10, Black Book Market Research reported findings of its poll on the economic pressures health systems are facing. The study was conducted from March to June 2025 and found that declining reimbursements, growing administrative complexity, and rapid regulatory changes are pushing many practices to the brink.

According to the news release, physician groups are taking concrete steps to remain viable:

• Twenty-eight percent have signed new VBC contracts with payers or CMS as of July 1, 2025.
• Twenty-four percent have outsourced key administrative and revenue cycle functions to control costs.
• Sixteen percent have joined IPAs, MSOs, or ACOs but retained their independent governance.
• Five percent have directly invested in population health or analytics platforms.

However, 70 percent of survey respondents worry that such moves will not be enough to preserve independence, Black Book reported.

The most significant challenges were captured as follows:

• Declining reimbursements and unsustainable finances
• Regulatory and administrative overload
• Technology infrastructure concerns