FEATURED INSIGHTS

Inside Advocate Health's VBC approach that saved $136M

See how Advocate Health's operations-driven approach to value-based care (VBC) and commitment to measurable goals achieved significant savings and improved population health outcomes.

How Bellin Health's VBC strategy saved employers $6.4M

Discover how Bellin Health's direct-to-employer value-based care (VBC) strategy reduced employee medical spending by 11% and saved their employer partners millions.

How Ochsner Health grounded its VBC success in a culture of innovation

Learn how Ochsner Health's commitment to innovation propelled them to become a value-based care (VBC) powerhouse with $264 million in value-based revenue and a 27% increase in covered lives in three years.

How UNC Health made VBC sustainable in an academic health system

Learn how University of North Carolina (UNC) Health achieved executive alignment on VBC, made VBC financial performance visible across business units, and more in an academic health system.

Hands-on support

Advisory Board expert support

Advisory Board can help you achieve VBC success. Bring our experts to your organization for customized, actionable insights to align your team with the right plan. Schedule time with our team today to get started on your path to success.

Schedule your session

Optum Advisory consulting

Want more hands-on support? Explore Optum Advisory’s healthcare consulting services and learn how their experts can help you design a VBC strategy that drives sustainable growth and profitability for your organization.

Learn more

Go deeper on our latest value-based care insights

CMS is ending two of its value-based primary care models earlier than planned. This leaves provider executives asking a major but fundamental question: Where do we go from here?

CMS is ending two primary care models early. Here’s what to do next.

Research

Redefining musculoskeletal care: Appropriate, personalized, and value-driven solutions

Musculoskeletal (MSK) conditions impose a significant burden on patients and the healthcare system. Often fragmented care and an overreliance on imaging and surgical interventions limits effective outcomes and exacerbates financial strain. Use this eBook to help understand where these challenges persist in the status quo and how to drive more accessible, value-driven MSK care.

Discover how to prove to payers that your intervention reduces the total cost of care (TCOC) with a deep dive into the most effective evaluation method and the success story of virtual GI clinic Oshi Health.

You’ve figured out a way to reduce care costs. Now, prove it to payers.

Value-based care cheat sheets

Review these cheat sheets to understand the basics of VBC and learn about behavioral health, care management, patient engagement, social determinants of health, team-based care, commercial risk, Medicare Advantage, and value-based payment models.

VBC basics: Understand the 5 key players in value-based care

Read this report to understand the key players in the VBC ecosystem and their motivations, discover how payers, providers, purchasers, patients, and industry partners interact in this ecosystem, and learn how each drives the success of value-based payment arrangements.

Ready-to-Use Slides

The evolution (and future) of value-based care

Download these ready-to-use slides for insight into what VBC is, how it has changed, and what hurdles remain.

6 mistakes you'll make with VBC (and how to avoid them)

Your transition to risk-based models is a marathon, not a sprint. Use the insights in this blog post to ground your VBC strategy and ensure you don't fall victim to common mistakes.

Get insight into the key trends in the health plan market and learn how to better understand your customers, help them meet their goals, and build lasting partnerships.

Understand your customer: Health plans

ICHRAs are gaining attention as an employer-sponsored health benefit option. Learn about ICHRAs and their potential impact on employers, health plans, providers, and healthcare vendors.

Individual coverage health reimbursement arrangements (ICHRAs)

Medicare Advantage (MA) plans are feeling the squeeze from tighter benchmark payment rates and increased utilization, causing friction with providers. Learn why some health systems are reevaluating their contracts with certain plans, resulting in increasingly fragmented plan-provider relationships.

The plan-provider tensions driving Medicare Advantage ‘breakups’

ICHRAs are gaining attention as an employer-sponsored health benefit option. Learn about ICHRAs and their potential impact on employers, health plans, providers, and healthcare vendors.

Individual coverage health reimbursement arrangements (ICHRAs)

Employer benefits costs are skyrocketing. Coupled with new fiduciary accountability now unfolding in the courts, employers are forced to reconsider their cost containment strategies. Most are choosing to focus on managed navigation, but a few go even further and attempt the arduous work of excluding high-price providers from their networks.

How employers are combating the ‘new normal’ for benefits costs with unconventional measures

Emerging Idea

Cost-control strategy: Centers of Excellence

Centers of Excellence (COEs) are designated providers that meet high standards for both quality and cost of care for a particular service or set of services. Employers and health plans are increasingly turning to Centers of Excellence to reduce healthcare costs while attracting and retaining employees. Discover how COEs can provide high-quality, lower-cost care for specific conditions — and what to keep in mind if you're considering them.

Learn how health plans can improve their collaborations with community-based organizations (CBOs) through focused portfolio development, strategic contracting, and enhanced support mechanisms.

3 ways health plans can strengthen partnerships with CBOs

The plan-provider tensions driving Medicare Advantage ‘breakups’

Innovation in drug development is making extraordinary (but high-cost) therapies available. To build foundations for affordable patient access, purchasers are trying aggressive cost management strategies that upend drug business norms, from Medicare’s inaugural year of price negotiation to health plans’ restructuring of PBM contracts.

How purchasers are tackling the affordability crisis of high-cost drugs

You’ve figured out a way to reduce care costs. Now, prove it to payers.

Understand the three transformative shifts impacting healthcare. Learn how leaders can refine their strategies to ensure equitable access and outcomes — and position their business for long-term success.

3 paradigm shifts in healthcare: Cheat sheet series