Docs taking on full risk in value-based care models still years away

The healthcare industry is likely still several years away from assuming full risk in value-based payment models, according to a new survey.

A market in which the majority of value-based relationships include both upside and downside shared risk is three to five years off, according to nearly 40% of 185 healthcare executives surveyed by the HealthCare Executive Group and Change Healthcare. About 17% said it will take five or more years and 6% said it will never happen. These new payment programs seem perpetually stuck in a state of delay, researchers said.

Providers are participating in Medicare shared-savings programs, bundled payments and other new payment models. But adoption is slow. If they are implemented, they typically don’t have downside risk, and the providers aren’t on the hook for losses.

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