Understand how we got here — and how to move forward.

Our Take

How Health Plans Can Support Providers in Risk

    In early 2021, Advisory Board surveyed a randomized sample of 225 providers and 26 health plan executives from across the country. The survey asked about their readiness for risk and their most effective support resources.

    The survey found that plans are still operating on outdated strategies that were formed when value-based payment was in its infancy. On the current trajectory, providers stall in upside risk and remain ill-prepared for downside risk. Plans must adapt their strategies to break through this plateau.

    Furthering the urgency for plans, the Covid-19 pandemic has increased providers’ interest in participating in value-based payment models but not necessarily their ability to succeed under those models.

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