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Value-Based Reimbursement 2020

Value-Based Reimbursement 2020
How Far Have We Come?

October 1, 2020 | Read Time: 3  minutes

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Insights from CHIME’s 2019 “HealthCare’s Most Wired” data, KLAS Population Health Management Cornerstone Summit, and KLAS Decision Insights

In the nearly 10 years since accountable care organizations were first established, healthcare organizations have been slow to take on risk-based agreements, especially those with downside risk. While the industry agrees that the rising costs and stagnant outcomes of fee-for-service (FFS) are not sustainable, healthcare executives are becoming less optimistic about how quickly value-based reimbursement (VBR) will outpace FFS. This report examines data from a variety of sources to measure industry progress toward VBR and explore how technology is being used to support it.

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Key Findings

  1. VBR Contracts Now Account for 26% of Hospital Revenue
  2. Organizations Invest in IT When There Is a Concrete ROI
  3. Provider Organizations Look First to the EMR to Drive PHM Workflows
  4. Functionality a Significant Driver in PHM Purchase Decisions
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This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2021 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.