Value-Based Reimbursement Trends and Attitudes

Black Book recently published a survey of over 200 ACOs and 1000 provider organizations regarding ACO infrastructure. Here are some key findings from the report:

·         95% of ACO and provider-based plan executives ranked financial solutions as the top infrastructure priority.

·         1 in 5 ACOs and 8% of others believe they have the financial technology to be successful long term.

·         59% of CFOs are caught between management that sustains FFS reimbursement and ACO solutions.

·         Three quarters of new ACOs don't have enough capital to become competitive in value-based care in 2015.

·         40% of hospitals use population health solutions but only 14% have ACO risk management tools.

·         By 2019, 50% of payments will be made through a value-based program, up from 12% of payments now.

Source: Black Book, June 17, 2015