While adoption of value-based payment models in the U.S. healthcare system has been slow and at times arduous, a recently released report by the Health Care Payment Learning & Action Network revealed that as of 2020, an estimated 60.7% of payments were tied to quality or value in some capacity, including pay-for-performance, shared-savings, shared-risk, and population-based arrangements. The remaining 39.3% of payments were strictly fee-for-service. While these figures varied between traditional Medicare, Medicare Advantage, Medicaid, and commercial payers, these data appear to indicate an encouraging trend toward value-based payment adoption.
