The health care industry is struggling to move on value-based care, and many wonder what the future will look like. But while progress is slow, Medicare is moving toward risk. Commercial risk is the wild card. Because of this, the future of commercial risk will decide if the industry lives in a hybrid state forever or realigns around a new cost and quality standard.
After examining the barriers and possibilities in commercial risk qualitatively, we dug into the top opportunities in claims data. Below is our initial analysis.