# Value-Based Care * **Definition:** Value-Based Care is a healthcare delivery model in which providers are paid based on patient health outcomes rather than the volume of services provided. This approach emphasizes quality of care, patient satisfaction, and cost-effectiveness, aiming to improve overall health while reducing unnecessary expenditures. * **Taxonomy:** Healthcare Topics / Value-Based Care ## News * Selected news on the topic of **Value-Based Care**, for healthcare technology leaders * 10K news items are in the system for this topic * Posts have been filtered for tech and healthcare-related keywords | Date | Title | Source | | --- | --- | --- | | 5/16/2025 | [**Five things to know about the growing value-based care movement**](https://www.modernhealthcare.com/policy/value-based-care-movement-rise-naacos) | [[Modern Healthcare]] | | 5/1/2025 | [**Netsmart Secures #1 Ranking in Geriatrics and Gerontology EHR & Practice Management in ...**](https://www.newswire.com/news/netsmart-secures-1-ranking-in-geriatrics-and-gerontology-ehr-practice-22566151) | [[Newswire]] | | 4/14/2025 | [**Rapid Expansion of Healthcare Outsourcing Market to Reach $662 Billion by 2028, Driven ...**](https://www.newswire.com/news/rapid-expansion-of-healthcare-outsourcing-market-to-reach-662-billion-22551235) | [[Newswire]] | | 2/24/2025 | [**Humana looks to deepen meaning of 'value-based care'**](https://www.beckerspayer.com/leadership/humana-looks-to-deepen-meaning-of-value-based-care.html) | [[Beckers Payer]] | | 1/24/2025 | [**Healthcare Services Market to Grow by USD 6.26 Trillion (2024-2028), Driven by Rising Chronic Disease Prevalence, Report Highlights AI-Powered Market Evolution - Technavio**](https://www.prnewswire.com/news-releases/healthcare-services-market-to-grow-by-usd-6-26-trillion-2024-2028-driven-by-rising-chronic-disease-prevalence-report-highlights-ai-powered-market-evolution---technavio-302358330.html) | [[PR Newswire]] | | 1/23/2025 | [**Even modest meds adherence can be financially transformative for health systems**](https://www.healthcareitnews.com/news/even-modest-meds-adherence-can-be-financially-transformative-health-systems) | [[Healthcare IT News]] | | 1/9/2025 | [**$715 Bn Ambulatory Surgery Centers IT Services Market Analysis - Global Forecasts 2025-2030**](https://finance.yahoo.com/news/715-bn-ambulatory-surgery-centers-144300767.html) | [[Yahoo Finance]] | | 1/9/2025 | [**Population Health Management Market size to increase by USD 19.40 Billion between 2024 ...**](https://www.prnewswire.com/news-releases/population-health-management-market-size-to-increase-by-usd-19-40-billion-between-2024-to-2029--market-segmentation-by-component-end-user-geography---technavio-302345720.html) | [[PR Newswire]] | | 1/8/2025 | [**Jaishankar Inukonda Receives 2024 Global Recognition Award for Data Engineering**](https://markets.businessinsider.com/news/stocks/jaishankar-inukonda-receives-2024-global-recognition-award-for-data-engineering-1034206248) | [[Business Insider Markets]] | | 12/30/2024 | [**Precision Medicine Software Research Analysis Report 2024-2030: Increasing Adoption of Genomic Data Analysis Software Spurs Growth, Integration of Multi-Omics Data Strengthens the Business Case - ResearchAndMarkets.com**](http://www.businesswire.com/news/home/20241230952002/en/Precision-Medicine-Software-Research-Analysis-Report-2024-2030-Increasing-Adoption-of-Genomic-Data-Analysis-Software-Spurs-Growth-Integration-of-Multi-Omics-Data-Strengthens-the-Business-Case---ResearchAndMarkets.com/?feedref=JjAwJuNHiystnCoBq_hl-Q-tiwWZwkcswR1UZtV7eGe24xL9TZOyQUMS3J72mJlQ7fxFuNFTHSunhvli30RlBNXya2izy9YOgHlBiZQk2LOzmn6JePCpHPCiYGaEx4DL1Rq8pNwkf3AarimpDzQGuQ==) | [[Business Wire]] | | 12/30/2024 | [**Precision Medicine Software Research Analysis Report 2024-2030: Increasing Adoption of Genomic Data Analysis Software Spurs Growth, Integration of Multi-Omics Data Strengthens the Business Case - ResearchAndMarkets.com**](http://www.businesswire.com/news/home/20241230952002/en/Precision-Medicine-Software-Research-Analysis-Report-2024-2030-Increasing-Adoption-of-Genomic-Data-Analysis-Software-Spurs-Growth-Integration-of-Multi-Omics-Data-Strengthens-the-Business-Case---ResearchAndMarkets.com/?feedref=JjAwJuNHiystnCoBq_hl-RLXHJgazfQJNuOVHefdHP-D8R-QU5o2AvY8bhI9uvWSD8DYIYv4TIC1g1u0AKcacnnViVjtb72bOP4-4nHK5ieT3WxPE8m_kWI77F87CseT) | [[Business Wire]] | | 12/19/2024 | [**mHealth Solutions Market Forecast: Insights on Growth Factors and 13.9AGR through 2031**](https://www.linkedin.com/pulse/mhealth-solutions-market-forecast-insights-growth-factors-8vkbe) | [[Linkedin]] | | 12/18/2024 | [**Key Trends Reshaping The Future Of U.S. Healthcare**](https://www.forbes.com/councils/forbesnonprofitcouncil/2024/12/19/key-trends-reshaping-the-future-of-us-healthcare/) | [[Forbes]] | | 12/9/2024 | [**Patient Engagement Solutions Market to Reach USD 82.35 Billion by 2032, Fueled by ...**](https://finance.yahoo.com/news/patient-engagement-solutions-market-reach-130000245.html) | [[Yahoo Finance]] | | 12/4/2024 | [**'Value-Based Care Can't Be A Side Hustle' - How Advocate Health Saved $135M**](https://www.healthleadersmedia.com/cfo/%E2%80%98value-based-care-can%E2%80%99t-be-side-hustle%E2%80%99-%E2%80%94-how-advocate-health-saved-135m) | [[HealthLeaders Media]] | | 11/22/2024 | [**Value-Based Care Is a Four Layer Cake - Why Do We Only Focus on The Icing?**](https://medcitynews.com/2024/11/value-based-care-reimbursement/) | [[MedCity News]] | | 11/18/2024 | [**How Emory's New Partnership Seeks to Scale Value-Based Care Across Georgia**](https://medcitynews.com/2024/11/value-based-care-atlanta/) | [[MedCity News]] | | 11/11/2024 | [**Population Health Management Market to Grow by USD 22.55 Billion from 2024-2028 ...**](https://www.prnewswire.com/news-releases/population-health-management-market-to-grow-by-usd-22-55-billion-from-2024-2028--driven-by-rising-adoption-of-healthcare-it-report-with-ai-impact-on-trends---technavio-302300769.html) | [[PR Newswire]] | | 10/18/2024 | [**The Impact Of Value-Based Care On Medicare: A Shift Towards Quality And Efficiency Copy**](https://healthcareguys.com/2024/10/18/the-impact-of-value-based-care-on-medicare-a-shift-towards-quality-and-efficiency-copy/?utm_source=rss&utm_medium=rss&utm_campaign=the-impact-of-value-based-care-on-medicare-a-shift-towards-quality-and-efficiency-copy) | [[The Healthcare Guys]] | | 10/17/2024 | [**Healthcare Payer Services Business Research Report 2023-2024 & 2030 - Growth in Telehealth and Virtual Care Services Expands the Scope of Payer Services - ResearchAndMarkets.com**](http://www.businesswire.com/news/home/20241017425707/en/Healthcare-Payer-Services-Business-Research-Report-2023-2024-2030---Growth-in-Telehealth-and-Virtual-Care-Services-Expands-the-Scope-of-Payer-Services---ResearchAndMarkets.com/?feedref=JjAwJuNHiystnCoBq_hl-RLXHJgazfQJNuOVHefdHP-D8R-QU5o2AvY8bhI9uvWSD8DYIYv4TIC1g1u0AKcacnnViVjtb72bOP4-4nHK5ieT3WxPE8m_kWI77F87CseT) | [[Business Wire]] | | 10/17/2024 | [**Healthcare Payer Services Business Research Report 2023-2024 & 2030 - Growth in Telehealth and Virtual Care Services Expands the Scope of Payer Services - ResearchAndMarkets.com**](http://www.businesswire.com/news/home/20241017425707/en/Healthcare-Payer-Services-Business-Research-Report-2023-2024-2030---Growth-in-Telehealth-and-Virtual-Care-Services-Expands-the-Scope-of-Payer-Services---ResearchAndMarkets.com/?feedref=JjAwJuNHiystnCoBq_hl-Q-tiwWZwkcswR1UZtV7eGe24xL9TZOyQUMS3J72mJlQ7fxFuNFTHSunhvli30RlBNXya2izy9YOgHlBiZQk2LOzmn6JePCpHPCiYGaEx4DL1Rq8pNwkf3AarimpDzQGuQ==) | [[Business Wire]] | | 8/20/2024 | [**The Impact Of Value-Based Care On Medicare**](https://healthcareguys.com/2024/08/20/the-impact-of-value-based-care-on-medicare/?utm_source=rss&utm_medium=rss&utm_campaign=the-impact-of-value-based-care-on-medicare) | [[The Healthcare Guys]] | | 7/3/2024 | [**Healthcare Revenue Cycle Management Market Advancements Highlighted by Trend ... - WhaTech**](https://www.whatech.com/og/markets-research/it/851632-healthcare-revenue-cycle-management-market-trend-forecast-till-2032) | whatech.com | | 7/3/2024 | [**Healthcare IT Market Poised for Explosive Growth, Projected to Reach $1.83 Trillion by 2031**](https://www.whatech.com/og/markets-research/medical/851706-healthcare-it-market-poised-for-explosive-growth-projected-to-reach-1-83-trillion-by-2031) | whatech.com | | 6/26/2024 | [**Population Health Management Market Advancements Highlighted by Size Forecast ... - WhaTech**](https://www.whatech.com/og/markets-research/medical/847535-population-health-management-market-size-forecast-between-2023-2032) | whatech.com | ## Topic Overview (Some LLM-derived content — please confirm with above primary sources) ### Key Players - **MUSC Health**: Shifting from fee-for-service to value-based care models, focusing on patient outcomes. - **Medicare**: A government program that has been a leader in implementing value-based care initiatives to enhance patient outcomes and manage healthcare costs. - **Advocate Health**: A healthcare organization that has achieved significant savings through participation in value-based care programs. - **CenterWell**: Demonstrates a successful patient-centered value-based care approach in senior primary care. - **Guidehealth**: An AI-enabled value-based care provider focusing on analytics and patient care. - **Milliman MedInsight**: Offers a Value-Based Care Platform that integrates EHR data and predictive analytics for accountable care organizations. - **Reveleer**: A value-based care software platform company that recently acquired Curation Health to enhance care delivery. - **Aledade**: Provides management coordination and technology solutions to support value-based care. - **Wellvana**: A third-party value-based care enabler that assists smaller practices in overcoming implementation challenges. - **Humana Inc.**: Provides insights on value-based care through annual reports, highlighting improved patient outcomes and reduced hospitalizations. - **Kaiser Permanente**: A major healthcare organization that promotes value-based care through acquisitions and partnerships. - **American Society of Anesthesiologists (ASA)**: Advocates for value-based care, emphasizing the role of anesthesia providers in patient safety and care quality. - **Netsmart**: A company enhancing data analytics capabilities for post-acute care providers transitioning to value-based care. - **IQVIA Holdings**: A major player in the real-world evidence solutions market, contributing to the development of value-based care strategies. - **Arbital Health**: Partners with HarmonyCares to enhance management of value-based care contracts for in-home primary care services. - **Arcadia**: Recognized for expertise in data governance and analytics, supporting value-based care models. - **Dallas Nephrology Associates**: A healthcare provider that has successfully adopted a value-based care model to improve patient outcomes in kidney disease management. - **Optum**: A key player in the healthcare analytics industry, focusing on data-driven decision-making to support value-based care. - **Risant Health**: Nonprofit formed by Kaiser Permanente, acquiring health systems to enhance value-based care. ### Partnerships and Collaborations - **VBC Transformation Partners**: Collaborates with various healthcare organizations to implement data-driven strategies for value-based care. - **Commonwealth ACO and Shenandoah Oncology**: Partnerships discussing the integration of social determinants of health into value-based care practices. - **Arbital Health and HarmonyCares**: A strategic partnership aimed at improving the management of value-based care contracts for seniors, enhancing care outcomes. - **Netsmart and HealthPivots**: Acquisition to enhance data analytics for providers transitioning to value-based care. - **Risant Health and Cone Health**: An acquisition that aims to improve health outcomes and expand value-based care across multipayer environments. - **Carle Health and Lumeris**: A strategic partnership aimed at improving healthcare delivery and patient outcomes for Medicare populations in Central Illinois. - **DeepMind and VA**: Collaboration focused on predicting acute kidney injury, showcasing the application of AI in value-based care. - **Affidea and Reset Health**: Implementing innovative digital care models for chronic conditions. - **State of Franklin Healthcare Associates and Lumeris**: Partnership aimed at improving healthcare delivery and outcomes through a patient-centric approach. - **Kaiser Permanente and Geisinger**: First acquisition of Geisinger by Kaiser Permanente's nonprofit subsidiary, Risant Health, to promote value-based care. - **Guidehealth and Emory Healthcare**: Collaboration to enhance primary care services for over 350,000 patients using AI tools. - **Innovaccer and Kaiser Permanente**: Partnership to enhance healthcare AI solutions and improve patient outcomes. - **Loftware and Signant Health**: Collaborating to enhance clinical risk grouping to improve population health outcomes. - **Emory Healthcare and Guidehealth**: A collaboration to enhance primary care services for over 350,000 patients in Georgia. - **athenahealth and Lone Star Family Health Center**: Transitioning to athenaOne to enhance patient care and operational efficiency. ### Innovations, Trends, and Initiatives - **Value-Based Care in Medicare**: Focus on quality and outcomes rather than service volume, incentivizing high-quality care. - **Value-Based Care Models**: Healthcare is shifting from fee-for-service to value-based care, focusing on patient outcomes and cost management. - **Shift to Value-Based Care**: Healthcare systems are transitioning from fee-for-service models to those focused on patient outcomes and coordinated care. - **AI Insights in Value-Based Care**: Guidehealth's platform identifies patients needing specific care before preventable health events. - **Medication Adherence Initiatives**: Focus on improving medication adherence as a key component of successful value-based care. - **Bundled Surgery Programs**: Implemented by the Hospital for Special Surgery to improve orthopedic care through value-based strategies. - **Technological Advancements**: AI, machine learning, and healthcare analytics are driving innovations in value-based care, enhancing patient outcomes and operational efficiencies. - **Real-World Evidence Solutions**: Increasing demand for RWE solutions to support value-based care models by emphasizing patient outcomes and cost-effectiveness. - **AI in Value-Based Care**: Artificial intelligence is being utilized for predictive analytics, personalized treatment plans, and operational efficiency to enhance patient outcomes. - **CMS Health Equity Conference**: An event discussing strategies for integrating health equity into value-based care models to improve patient outcomes. - **Milliman MedInsight VBC Platform**: Integrates EHR data and contract management to provide actionable insights for ACOs. - **AI and Data Integration**: Advancements in AI and data integration are expected to enhance patient-provider interactions and streamline workflows in value-based care. - **Patient Engagement Solutions**: Growth in solutions that improve patient-provider communication and support personalized healthcare. - **AI-driven solutions**: Implemented by healthcare organizations to enhance operational efficiency and patient care. - **Perioperative Surgical Home model**: Developed by ASA to improve care coordination and outcomes in perioperative care. - **Telemedicine Growth**: Significant growth in telemedicine, driven by virtual-first care models and at-home diagnostics. - **Pharmacist-led Telehealth Models**: Utilizing AI-driven algorithms for personalized diabetes management, improving access to care. - **Patient Experience Technology Market**: Anticipated growth driven by advancements in healthcare IT, focusing on improving patient outcomes through engagement and remote monitoring. - **Offsite Medical Case Management (OMCM)**: Utilizes telehealth and digital tools to coordinate patient care remotely, projected to grow significantly. ### Challenges and Concerns - **Implementation Issues**: Despite theoretical benefits, practical implementation of value-based care has not yet significantly reduced healthcare costs, raising questions about its effectiveness. - **High Care Costs in Oncology**: Transitioning to value-based care in oncology is challenging due to existing fee-for-service models. - **Slow Transition to Value-Based Care**: Healthcare providers face challenges in adapting to new models, requiring changes in clinician practices and adequate support. - **Balancing Fee-for-Service and Value-Based Models**: Healthcare practices face difficulties in managing both reimbursement models simultaneously. - **Regulatory Compliance**: Healthcare organizations must adapt to changing regulations while implementing value-based care strategies. - **Interoperability and Technology Costs**: Challenges related to interoperability and the costs of implementing new technologies in value-based care. - **Transition from Fee-for-Service**: Providers face difficulties navigating differing incentives that reward procedures over patient care. - **Administrative Burdens**: Value-based care creates significant administrative challenges for physicians, impacting scalability. - **Interoperability Issues**: The need for seamless data exchange between different healthcare systems poses challenges for effective value-based care. - **Data Privacy and Interoperability**: Concerns regarding data privacy and the need for interoperability between healthcare systems pose challenges for effective value-based care. - **Data Security and Regulatory Compliance**: Concerns regarding data security and regulatory complexities persist as healthcare organizations transition to value-based care. - **Implementation Challenges**: Smaller practices often lack the resources and expertise to implement value-based care programs effectively. - **Data Management Needs**: Healthcare providers must enhance data capabilities to thrive under evolving payment models. - **Reimbursement Issues**: Health systems face challenges in reimbursement models that initially share only upside risk with payers. - **Health Disparities**: CFOs must address health disparities and improve the well-being of underserved populations through community-based interventions. - **Integration of Technology**: Successful implementation of new technologies in healthcare requires inclusive decision-making processes involving clinicians and IT. - **Data Privacy Concerns**: As healthcare organizations adopt new technologies, ensuring data privacy remains a significant challenge. ## Related Topics [[Value-Based Care Shift]]; [[Value-Based Care Models]]; [[Value-Based Care Transition]]