News | Enterprise Imaging | November 17, 2017

Change Healthcare Research Finds States Remain Committed to Value-Based Payment Models

Nearly half of all states have value-based targets or mandates, and just seven states have little to no activity around value-based payment models

Change Healthcare Research Finds States Remain Committed to Value-Based Payment Models

November 17, 2017 — Alternative payment programs are now firmly rooted in state-level healthcare policy, as discussions regarding health reform continue in Washington, according to a new national study commissioned by Change Healthcare. The study found over 40 states pursuing value-based payment programs, with 15 multi-payer initiatives across those states.

Moreover, 23 states have value-based targets or mandates that payers and providers agreed to achieve, 17 have or are considering adoption of accountable care organizations (ACOs) or ACO-like entities, and 12 have or are considering episodes-of-care programs. Just seven states have little to no activity around value-based payment models, according to the Change Healthcare study.

These insights and more are revealed in Value-Based Reimbursement State-by-State. Published by Change Healthcare, the report and accompanying state-by-state matrix provide a detailed accounting of the alternative payment landscape in all 50 U.S. states plus Puerto Rico and the District of Columbia.

Readers can explore a wide range of approaches taken by the states, as well as examine significant variation in levels of sophistication, leadership commitment and resources devoted to the transition from fee-for-service to alternative payment models.

"This report clearly shows that most of the country is committed to value-based payment as a key component of health reform in order to bend the cost curve and ultimately achieve the Triple Aim," said Carolyn Wukitch, senior vice president & general manager, network and financial management, Change Healthcare. "To scale these complex payment arrangements, payers and providers will need to rely even more on their healthcare information partners to help them model, automate and analyze their programs to ensure cost savings, appropriate care and fast, accurate payment."

Value-Based Reimbursement State-by-State is based on an analysis of publicly available information compiled from May through October 2017. The study relies on information gleaned from primary sources, including state resources, federal government resources and contractors that participate in state-initiated value-based payment programs. In addition, data available from secondary sources was reviewed, including research reports from healthcare industry analysts; mainstream, business and trade media; and think tanks, public policy institutes and research institutes.

The full report is available for download at StateVBRstudy.com. A supporting webinar on Nov. 15, produced in partnership with the HealthCare Executives Group (HCEG), examined state-level value-based payment initiatives. In addition to providing an overview of the report, the webinar featured insights from Brooks Daverman, the director of strategic planning and innovation for TennCare (Tennessee Medicaid), one of the leaders in state-level value-based payment innovation.

For more information: www.changehealthcare.com

Related Content

Nurse Practitioners, Physician Assistants Rarely Interpret Diagnostic Imaging Studies
News | Radiology Business | September 18, 2019
September 18, 2019 — Although Medicare claims data confirm the...
iCAD's ProFound AI Wins Best New Radiology Solution in 2019 MedTech Breakthrough Awards
News | Computer-Aided Detection Software | September 09, 2019
iCAD Inc. announced MedTech Breakthrough, an independent organization that recognizes the top companies and solutions...
Scranton Gillette Communications Names Imaging Technology News Group Publisher and Integrated Media Consultant

Diane Vojcanin (left) was named vice president, group publisher, healthcare group, overseeing Imaging Technology News (ITN) and Diagnostic and Interventional Cardiology (DAIC). Andreja Slapsys (right) was named a healthcare group integrated media consultant.

News | Radiology Business | September 06, 2019
Business-to-business communications leader Scranton Gillette Communications has named Diane Vojcanin as vice president...
A smart algorithm has been trained on a neural network to recognize the appearance of breast cancer in MR images

A smart algorithm has been trained on a neural network to recognize the appearance of breast cancer in MR images. The algorithm, described at the SBI/ACR Breast Imaging Symposium, used deep learning, a form of machine learning, which is a type of artificial intelligence. Image courtesy of Sarah Eskreis-Winkler, M.D.

Feature | Society of Breast Imaging (SBI) | September 06, 2019 | By Greg Freiherr
The use of smart algorithms has the potential to make healthcare more efficient.
Philips and Fujifilm booths at SIIM 2019.

Philips and Fujifilm booths at SIIM 2019.

Feature | SIIM | September 06, 2019 | By Greg Freiherr
Pragmatism from cybersecurity to enterprise imaging was in vogue at the 2019 meeting of the Society of Imaging Inform
Heath information technology diagram showing use of cloud storage.
Feature | Archive Cloud Storage | September 04, 2019 | Tyna Callahan
In healthcare, critical systems are being used to deliver vital information and services 24x7x365.
Global Diagnostics Australia Incorporates AI Into Radiology Applications
News | Artificial Intelligence | September 04, 2019
Global Diagnostics Australia (GDA), a subsidiary of the Integral Diagnostics Group (IDX), has adopted artificial...
The CT scanner might not come with protocols that are adequate for each hospital situation, so at Phoenix Children’s Hospital they designed their own protocols, said Dianna Bardo, M.D., director of body MR and co-director of the 3D Innovation Lab at Phoenix Children’s.

The CT scanner might not come with protocols that are adequate for each hospital situation, so at Phoenix Children’s Hospital they designed their own protocols, said Dianna Bardo, M.D., director of body MR and co-director of the 3D Innovation Lab at Phoenix Children’s.

Sponsored Content | Case Study | Radiation Dose Management | September 04, 2019
Radiation dose management is central to child patient safety. Medical imaging plays an increasing role in the accurate...
Medical Imaging Rates Continue to Rise Despite Push to Reduce Their Use
News | Radiology Imaging | September 03, 2019
Despite a broad campaign among physician groups to reduce the amount of medical imaging, use rates of various scans...
Beginning with the 2019 meeting, the American Society for Radiation Oncology (ASTRO) will begin transforming its annual meeting in several key ways

Expect changes at ASTRO 2019 and at ASTRO annual meetings to come over the next two years. Photo courtesy of ASTRO

Feature | ASTRO | August 30, 2019 | By Greg Freiherr
Beginning with the...