SummaryAvalere analyzes opportunities for investment in the growing $350-billion market for population-level VBC in Medicare.
Value-based care (VBC) represents a meaningful opportunity for investors to reduce costs and improve patient outcomes. Existing data on VBC models indicate which approaches and types of organizations perform well compared to baseline fee for service payment structures. Investors and policymakers have focused on organizations that specialize in providing population-level VBC because these organizations can manage high levels of financial risk while also creating opportunities to improve care and generate savings.
This paper provides an overview of the Medicare VBC market and estimated total addressable market for clinical care providers, describes opportunities for growth in this market, and outlines important considerations for investing in key market players.
VBC programs that have been most successful tend to be led by providers, have significant experience with VBC, and are large enough to meet market-specific demands while having sufficient data capabilities. Further, more systematic analysis is needed to identify drivers of profitability and growth.
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