Five takeaways from Change Healthcare’s value-based care analysis:
1. Forty-eight states and territories — including Washington, D.C., and Puerto Rico — have implemented value-based reimbursement programs.
2. West Virginia, Indiana, Mississippi and Georgia are the only four states that have implemented few or no value-based care initiatives.
3. New York, Pennsylvania and Vermont have more actively embraced value-based initiatives, shared payment models and innovative strategies than other states:
- New York has tested a Medicaid pay-for-performance model, risk-sharing arrangements with managed care organizations and various pilots for maternity care, HIV/AIDs and primary care.
- Pennsylvania’s efforts include multipayer episode-of-care payments for acute care, global payments for primary care and global budgeting for rural hospitals.
- Vermont has deployed an all-payer ACO model and episode-of-care payments for Medicaid, among other initiatives.
4. Thirty-four states began implementing value-based reimbursement initiatives at least two years ago. Eight states are in the early adoption stages.
5. Twenty-three states have value-based payment targets or mandates in place.
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