Building any partnership takes time—and that’s especially the case for value-based care arrangements. Early research and industry leaders report that value-based care (VBC) partnerships take at least three to five years to realize results for both plan and provider partners. And particularly in the commercial line of business, where employees often switch health plans because of changing jobs—it may take even longer to bend the cost curve.

But employee churn is only the tip of the iceberg. Below, we outline the five main reasons why commercial risk partnerships take several years and how to face them head on.

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