Since 2006, the use of value-based care approaches have grown steadily, with most of the growth happening after 2014, when there were just 16 states with VBC programs. (Image: Shutterstock)
As various types of health care reform continue to be debated on the national level, states have continued to serve as policy laboratories—and according to a new study, nearly all states have adopted some kind of pay-for-performance program that rewards outcomes, rather than the volume of care.
The new report, Value-Based Care in America: State-by-State, was recently released by Change Healthcare, a health care IT company based in Nashville, Tennessee.
The study finds that 48 states have now implemented value-based care (VBC) programs. The move follows years of research showing that the old fee-for-service model of health care provides mixed incentives—often leading to more care and cost, rather than an emphasis on quality and prevention.
States are moving ahead with VBC
“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,” the company said in a release. The report also includes a state-by-state analysis of VBC programs in 50 states, along with the District of Columbia and Puerto Rica. Only four states: Georgia, Indiana, Mississippi, and West Virginia do not currently have statewide VBC programs.
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