A Roadmap for Value-Based Payment in 2030

Simplifying the current value-based payment landscape and accelerating the movement from upside-only shared savings to risk-bearing, population-based alternative payment models while curtailing the ability of providers to opt-out of value-based payment altogether.

“Another challenge for APMs over the past decade has been their lack of impact on improving health disparities, as they've really had no focus on health inequities to speak of, and there are ongoing concerns that financial incentives may inadvertently worsen disparities.”

On the quality front, the impacts tend to be small as well when there are quality improvements. “Another challenge for APMs over the past decade has been their lack of impact on improving health disparities, as they've really had no focus on health inequities to speak of, and there are ongoing concerns that financial incentives may inadvertently worsen disparities.”