Key Insights
- The evolution of VBC is extending into specialty care, driven by new payment models that emphasize accountability and outcomes over volume, aiming to improve patient care while reducing costs.
- Successful VBC models are emerging in areas like kidney disease and oncology, where patient attribution is clear, paving the way for broader application in complex specialties such as gastroenterology (GI) and musculoskeletal (MSK) care.
- Implementing VBC in specialty care faces challenges, including the complexity of conditions and overlapping care responsibilities. Strategies for success include aligning data and payment structures, improving claims analysis, and fostering collaboration between payers and providers.
Value-based specialty care has the potential to transform healthcare delivery by focusing on patient outcomes and cost efficiency. Overcoming implementation challenges requires strategic alignment and collaboration.