From helping to organize disparate clinical datasets, to delivering high-value care, to using non-clinical assets to manage cost, these companies are at the forefront of value-based care.
Value-based care (VBC) is at the core of the current US healthcare transformation.
In the VBC model, healthcare providers are paid for the healthcare outcomes and well-being of their patients, rather than just for services provided.
Since it was signed into law in 2010 as a part of the Affordable Care Act, VBC has gained significant momentum. The Center for Medicare & Medicaid Services (CMS) and its innovation arm, CMMI, have authorized dozens of VBC initiatives that touch all parts of the healthcare ecosystem.
In Q2’19 alone, “value-based care” was used 51 times during earnings calls by a diverse group of healthcare companies, including health insurer Anthem, dialysis provider Fresenius, medical device company Medtronic, EHR tech developer Cerner, and data analytics company Health Catalyst.
In 2018, over 50% of Medicare beneficiaries were either attributed to an accountable care organization or enrolled in a Medicare Advantage plan, up from just 35% in 2013.
Additionally, the country’s largest commercial payer, UnitedHealthcare Group, has over 50% of its annual reimbursements tied to value-based contracts.
Using CB Insights data, we surfaced 150+ private companies facilitating the value-based care transformation.
The market map is not meant to be exhaustive of companies in the space. Companies are categorized according to primary use case.
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