Switching to value-based contracts can be a complex process for payers and providers alike. From managed health plans to clinical quality measure capture, these companies are helping healthcare stakeholders implement and manage value-based care.
The transition from the fee-for-service (FFS) to the value-based care (VBC) model is critical to the ongoing transformation of the US healthcare system.
In the VBC model, healthcare providers are paid for the health outcomes of their patients, rather than just for the volume of services provided.
Originally signed into law in 2010 as part of the Affordable Care Act, VBC has experienced gradual adoption. In 2015, 30% of commercial payer reimbursement was tied to VBC arrangements. That share has more than doubled since, growing to 61% by the end of 2020.
Further, UnitedHealth Group subsidiary Optum Health — one of the largest US-based physician groups — recently announced it expects 600K patients will be treated in VBC arrangements in 2022 — a 20% increase from its initial projection of 500K.
While stakeholders increasingly prioritize VBC, implementing and managing value-based contracts can be a complex process for payers and providers alike.
Using the CB Insights platform, we surfaced 140+ private companies facilitating the shift toward value-based care and mapped them according to 9 categories within the space, from clinical quality measure capture to remote patient monitoring.
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