# Value-Based Care Shift * **Definition:** A transition in healthcare delivery and reimbursement models that emphasizes patient outcomes and the quality of care provided, rather than the volume of services rendered, aiming to improve health outcomes while controlling costs. * **Taxonomy:** Healthcare Topics / Value-Based Care Shift ## News * Selected news on the topic of **Value-Based Care Shift**, for healthcare technology leaders * 4K news items are in the system for this topic * Posts have been filtered for tech and healthcare-related keywords | Date | Title | Source | | --- | --- | --- | | 5/27/2025 | [**Video - Healthcare IT News**](https://www.healthcareitnews.com/video/node/480947?page=96) | [[Healthcare IT News]] | | 5/21/2025 | [**Redefining Access and Outcomes in Behavioral Health: A Conversation with Talkiatry CEO ...**](https://www.beckershospitalreview.com/podcasts/podcasts-beckers-hospital-review/redefining-access-and-outcomes-in-behavioral-health-a-conversation-with-talkiatry-ceo-robert-krayn/) | [[Beckers Hospital Review]] | | 5/19/2025 | [**athenahealth Launches athenaOne® for Community Health Centers**](https://hitconsultant.net/2025/05/19/athenahealth-launches-athenaone-for-community-health-centers/) | [[HIT Consultant]] | | 2/7/2025 | [**Healthcare Services Market to Grow by USD 6.26 Trillion from 2024-2028, Driven by Rising Chronic Diseases, with AI Driving Market Transformation - Technavio**](https://www.prnewswire.com/news-releases/healthcare-services-market-to-grow-by-usd-6-26-trillion-from-2024-2028--driven-by-rising-chronic-diseases-with-ai-driving-market-transformation---technavio-302371577.html) | [[PR Newswire]] | | 2/3/2025 | [**Healthcare Services Market to Grow by USD 6.26 Trillion from 2024-2028, Driven by Rising ...**](https://www.prnewswire.com/news-releases/healthcare-services-market-to-grow-by-usd-6-26-trillion-from-2024-2028--driven-by-rising-prevalence-of-chronic-diseases-with-ai-shaping-market-trends---technavio-302365978.html) | [[PR Newswire]] | | 1/30/2025 | [**2025's Top Healthcare IT Consulting Firms Ranked by Industry for Innovation and Measurable Impact**](https://finance.yahoo.com/news/2025s-top-healthcare-consulting-firms-190000243.html) | [[Yahoo Finance]] | | 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]] | | 1/18/2025 | [**Weekly Roundup - January 18, 2025 - Healthcare IT Today**](https://www.healthcareittoday.com/2025/01/18/weekly-roundup-january-18-2025/) | [[Healthcare IT Today]] | | 1/14/2025 | [**Healthcare Trends Shaping 2025 And Insights For Industry Leaders - Forbes**](https://www.forbes.com/councils/forbesbusinesscouncil/2025/01/14/healthcare-trends-shaping-2025-and-insights-for-industry-leaders/) | [[Forbes]] | | 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]] | | 11/23/2024 | [**Future Growth Trends in Offsite Medical Case Management Market with a Forecasted 11.1 ...**](https://www.linkedin.com/pulse/future-growth-trends-offsite-medical-case-management-pjnuc) | [[Linkedin]] | | 11/12/2024 | [**Healthcare IT Market to Grow by USD 199.8 Billion (2024-2028), Driven by Focus on Service ...**](https://www.prnewswire.com/news-releases/healthcare-it-market-to-grow-by-usd-199-8-billion-2024-2028-driven-by-focus-on-service-quality-and-efficiency-ai-powered-report-highlights-market-transformation---technavio-302301465.html) | [[PR Newswire]] | | 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]] | | 10/17/2024 | [**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]] | | 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 - **Change Healthcare**: A key player in the U.S. Revenue Cycle Management market, expanding offerings through acquisitions and partnerships. - **Allscripts Healthcare Solutions**: Offers healthcare IT solutions that facilitate value-based care through data integration and analytics. - **Lightbeam Health Solutions**: A leading vendor in value-based care technology, recognized for its Deviceless Remote Patient Monitoring (RPM) platform that enhances patient engagement and data collection. - **Quantum Health**: Offers clinical support services and has appointed a new Chief Medical Officer to enhance its value-based care programs. - **Inovalon**: Provides data-driven healthcare solutions aimed at improving patient outcomes. - **Accountable Care Organizations (ACOs)**: Healthcare organizations that provide coordinated care to patients, focusing on quality and efficiency to improve patient outcomes and reduce costs. - **athenahealth**: Provides cloud-based solutions that improve care coordination and operational efficiency, supporting value-based care initiatives. - **McKesson Corporation**: A major healthcare services and information technology company that supports value-based care initiatives. - **Unite Us**: A company focused on integrating social determinants of health into healthcare workflows to improve patient outcomes and drive ROI. - **Lumeris**: A technology solutions provider that partners with healthcare organizations to improve care delivery and patient outcomes through value-based care. - **Innovaccer**: Recognized as a top AI-driven population health management vendor, Innovaccer's platform enhances data integration and predictive analytics for value-based care. - **Oracle Health**: A prominent player in healthcare data platforms, known for its focus on interoperability and AI integration to support value-based care. - **IBM Watson Health**: Utilizes AI and machine learning to enhance healthcare analytics and decision-making. - **Cerner Corporation**: A leading player in healthcare IT, focusing on electronic health records and population health management. - **Optum**: A major player in the healthcare analytics industry focusing on product launches and technological advancements. - **basys.ai**: A company leading efforts to streamline prior authorization for health plans using generative AI. - **Arcadia**: Recognized for expertise in transforming fragmented data ecosystems into integrated analytics platforms that enhance clinical, operational, and financial outcomes for healthcare organizations. - **Verisma**: A provider of data management solutions that enhances patient data management and regulatory compliance through its acquisition of Olah Healthcare Technology. - **Iodine Software**: A leading vendor in mid-revenue cycle management, recognized for its AI-powered solutions that enhance clinical decision-making and financial performance. ### Partnerships and Collaborations - **athenahealth and Lone Star Family Health Center**: A collaboration to transition to athenaOne, improving patient access and engagement in value-based care arrangements. - **Oracle Health and Advocate Health**: This partnership focuses on supporting value-based care delivery and regulatory compliance through advanced data integration. - **Unite Us and North Carolina Medicaid**: Demonstrating how technology can create sustainable care networks that connect individuals to essential services. - **Carle Health and Lumeris**: A strategic partnership aimed at enhancing healthcare delivery and patient outcomes through value-based care in Central Illinois. - **Cheshire and Merseyside Integrated Care System and Cynerio**: Collaborated to enhance cybersecurity across NHS Trusts. - **athenahealth and SoNE HEALTH**: SoNE HEALTH is implementing athenaOne to enhance care coordination and operational efficiency, driving growth and improving patient care. - **SonarMD and LyfeMD**: Partnered to provide holistic health support for patients with Inflammatory Bowel Disease, integrating nutrition and mental health resources. - **Ellipsis Health and Ceras Health**: Aims to enhance mental health care by providing real-time severity scores for anxiety and depression through AI-powered voice biomarker technology. ### Innovations, Trends, and Initiatives - **Value-Based Care**: A significant trend driving the healthcare industry towards improved patient outcomes and cost management, emphasizing quality over quantity of care. - **Value-Based Care Models**: Healthcare organizations are increasingly adopting value-based care models, focusing on patient outcomes rather than service volume. - **Interoperability and Data Governance**: Emphasizing the need for effective data management and interoperability to support value-based care initiatives. - **Government mandates for value-based care**: Emphasizing the necessity for efficient contract management systems in healthcare to comply with regulations like HIPAA and GDPR. - **Healthcare Cloud Computing Growth**: The healthcare cloud computing market is projected to grow significantly, driven by the adoption of EHRs and a shift towards value-based care. - **Telehealth and Digital Health Technologies**: The rise of telehealth and digital health tools is essential for enhancing patient engagement and care coordination in value-based care. - **Healthcare SaaS**: Cloud-based applications are transforming healthcare operations, enhancing patient engagement and care management. - **Population Health Management**: Utilizes data analytics and care coordination to improve health outcomes for large groups, aligning with value-based care models. - **Remote Patient Monitoring**: Growing in importance due to the demand for personalized healthcare management and the rise of chronic diseases. - **Healthcare APIs**: Revolutionizing patient data management by facilitating seamless data exchange among electronic health records, wearable devices, and patient portals. - **AI-driven tools**: Enhancing decision-making processes for medical professionals by analyzing patient data to identify high-risk patients and improve treatment outcomes. - **Telemedicine**: The rise of remote clinical services that enhance accessibility, particularly in underserved areas, accelerated by the COVID-19 pandemic. - **AI in Population Health Management**: Innovaccer's Data Activation Platform utilizes AI to unify fragmented data, improving predictive analytics and decision-making crucial for transitioning to value-based care. - **AI and Machine Learning**: Increasingly adopted for predictive analytics, clinical decision support, and operational efficiency in healthcare settings. - **Deviceless Remote Patient Monitoring**: Lightbeam's RPM engages patients through text and calls, collecting data across condition-specific programs, demonstrating significant clinical and financial value. - **Digital Health Technologies**: Advancements in mobile health applications and services projected to grow significantly, driven by technology and preventive healthcare. - **Artificial Intelligence**: AI is being integrated into healthcare to enhance clinical decision-making, improve patient outcomes, and streamline administrative processes. ### Challenges and Concerns - **Cost Management**: Healthcare organizations face budget constraints while transitioning to value-based care models, necessitating efficient resource allocation. - **Interoperability Issues**: Challenges in ensuring seamless data exchange between different healthcare systems, which can hinder the effectiveness of value-based care. - **Data Security and Interoperability**: Healthcare organizations face challenges in ensuring data security and achieving meaningful interoperability, which are critical for effective value-based care. - **Regulatory Compliance**: Organizations must navigate complex regulatory landscapes while implementing value-based care models, which can hinder operational efficiency. - **Rising Healthcare Costs**: Increasing expenses that challenge the sustainability of healthcare systems and necessitate innovative solutions. - **Economic Pressures on Health Systems**: Staffing shortages and decreased reimbursements are prompting hospitals to seek new strategies for sustainability in a challenging economic landscape. - **Integration Complexity**: Challenges in integrating new technologies with existing healthcare systems, impacting the adoption of innovative solutions. - **Data Security and Privacy**: Concerns regarding the protection of sensitive patient information amidst the integration of digital health technologies. - **Physician sentiment on insurance influence**: A survey indicates that a majority of U.S. physicians believe health insurance companies exert excessive influence over patient care decisions. - **Data privacy and security**: Healthcare organizations face significant challenges in protecting sensitive patient data against threats such as ransomware and data breaches. - **Data Privacy**: Concerns regarding the security of patient data and compliance with regulations like HIPAA and GDPR. ## Related Topics [[Value-Based Care]]; [[Value-Based Care Transition]]; [[Value-Based Care Models]]