Cigna Healthcare
CONTINUING THE JOURNEY TO VALUE-BASED CARE
Overview
Since the passage of the Affordable Care Act in 2010, there has been increasing focus on reducing health care costs and improving quality and patient experience through value-based reimbursement. Value-based reimbursement pays health care providers based on the quality and efficiency of care delivered rather than the number of services delivered. The industry has made steady progress transitioning to value-based reimbursement models. Payers continue to align more health care spend to value and launch new value-based models designed to support providers’ transition to value-based care. Provider adoption also continues, but is variable across markets and types of providers and remains more limited for models that put a degree of provider reimbursement at risk. Despite some headwinds, continued adoption of value-based care is inevitable as customers, clients, and both government and private payers seek more value out of health care spending. Collaboration is critical across all stakeholders to support providers’ successful transition.