Press release

Change Healthcare Research: 48 States Now Committed to Value-Based Care and Payment Models

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Value-based care programs are flourishing across the U.S., with a
seven-fold increase in the number of states implementing such
initiatives in the past five years. That’s according to Value-Based
Care in America: State-by-State
, the second national study of state
healthcare payment programs published by Change Healthcare. Released
today, the study finds 48 states have now implemented value-based care
or payment programs, 50% of those programs are multi-payer in scope, and
just four states have little or no value-based care initiatives underway.

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Change Healthcare Value-Based Care in America: State-by-State Infographic – JPG Version (Photo: Busi ...

Change Healthcare Value-Based Care in America: State-by-State Infographic – JPG Version (Photo: Business Wire)

The study also highlights six states with well-developed value-based
care strategies in place four years or more, 34 with initiatives two or
more years into implementation, and eight states in early stage VBC
development. Other noteworthy findings: Accountable Care Organizations
(ACOs) and ACO-like entities are in place or considered in 22 states,
and 16 states established or are planning bundled-payment programs.
Three states—New York, Pennsylvania, and Vermont—are noteworthy for the
broad scope of their breadth of initiatives, embrace of payment models
that involve shared risk, and willingness to test innovative strategies.

“Much of the public’s attention is focused on the federal government’s
role in catalyzing healthcare payment reform, but the significant work
being done at the state level is no less important and meaningful,” said
Carolyn Wukitch, senior vice president & general manager, Network and
Financial Management, Change Healthcare. “Based on the report, it’s
obvious that managed Medicaid programs are actively exploring numerous
VBP models, and that states implementing more advanced strategies around
healthcare payment transformation will ultimately drive the commercial
markets.”

Value-Based
Care in America: State-by-State
provides a detailed
accounting of the value-based and alternative payment landscape in all
50 U.S. states, Puerto Rico, and the District of Columbia. The report
reflects the variety of innovative value-based care approaches deployed
across the U.S. and highlights variation in sophistication, leadership
commitment, and resources devoted to the national transition from volume
(fee-for-service) to value. The study is based on analysis of publicly
available information first compiled and reported in 2017 and updated in
February 2019. Information sources include state and federal government
resources, input from contractors that participate in state-initiated
value-based programs, and secondary resources including research reports
from healthcare industry analysts, think tanks, public policy and
research institutes, and the media.

The full report is available at no charge at StateVBRstudy.com.

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About Change Healthcare

Change Healthcare is inspiring a better healthcare system. Working
alongside our customers and partners, we leverage our software and
analytics, network solutions, and technology-enabled services to enable
better patient care, choice, and outcomes at scale. As a key catalyst of
a value-based healthcare system, we are accelerating the journey toward
improved lives and healthier communities. Learn more at changehealthcare.com.