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

NASHVILLE, Tenn., APRIL 16, 2019—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.

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

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SOURCE: Change Healthcare