1. How are provider organizations participating in VBC — and how are they performing?
2. What can provider partners do to enable greater VBC adoption and success?

Despite active, public debate about the state of VBC adoption across the U.S. healthcare system, few efforts capture the provider experience to date and their views on how to scale those efforts in the future. This lack of insight hinders efforts to grow VBC adoption.

Enabling providers to continue down the path toward greater risk adoption requires understanding current VBC efforts, where providers have (and have not) found success, and what has enabled those successes.

Advisory Board surveyed over 200 physicians and provider executives nationwide, all with at least one risk-based contract. The survey asked about their VBC efforts and outcomes, factors affecting these efforts, and respondents’ confidence in succeeding under future value-based payment models.

The adoption of VBC contracts across various organization types is broader and more diverse than commonly discussed. Providers were more likely to make money than lose money, despite financial loss being a major concern. Meanwhile, physicians are growing more confident in their ability to succeed under risk-based models, necessitating a more customized approach to enable provider success.

Read on for five new insights that challenge the conventional wisdom and add depth to our understanding of the VBC landscape.