According to a recent report from the Health Care Payment Learning & Action Network (LAN), interest and participation in value-based care in the commercial sector is increasing with approximately 46% of commercial payments currently tied to value.
LAN’s 2022 APM Measurement Report, which represents 62% of the national commercial market, says in 2021 value-based care payments were made to physicians and health care providers in these categories (see infographic):
11.8%: fee-for-service incentives with a link to quality and value (Cat. 2)
31.9%: alternative payment models such as shared savings programs (Cat. 3)
2.6%: population-based payments such as total cost of care or capitation models (Cat. 4)
![APM Framework - Figure 1 APM Framework - Figure 1](/uploadedimages/Current/2016_Practice_Help/Accountable_Care/APMFramework-Figure1.png?n=3206)
The following link to information concerning value-based care strategies and policies pursued by major commercial payers in the Texas market:
Aetna/CVS Health Blue Cross and Blue Shield of Texas Cigna HealthCare UnitedHealth Group Texas Health and Human Services: Cross-Agency Coordination on Healthcare Strategies and Measures
Last Updated On
September 22, 2023
Originally Published On
September 22, 2023