Tracking success

An important part of HCA’s value-based purchasing (VBP) strategy is to determine health care provider and health plan participation in VBP arrangements. HCA gathers this information from multiple sources, including two annual surveys to track provider and plan (payer) progress toward our paying for health and value goal.

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Paying for Value surveys

Each year, HCA issues Paying for Value surveys to health plans (payers) and health care providers to understand participation in VBP and track progress toward our VBP adoption goals.

The surveys include questions about:

  • Barriers and enablers to VBP adoption
  • Types of providers engaged in VBP
  • How health equity is incorporated into VBP contracts
  • Ways HCA can improve current and future VBP initiatives

Measuring VBP adoption and related barriers and enablers helps HCA find ways to improve current and future initiatives. This includes alternative payment models, health plan contracts, our VBP Roadmap, and more.

2023 survey

Paying for Value survey results

2024

State-financed health care by APM category over time, 2019–2023

Chart of state-funded health care by APM category over time. See long description.

Alternative payment models (APM) categories align with the HCP-LAN APM Framework:

  • Category 2C: pay-for-performance
  • Category 3A: APMs with shared savings
  • Category 3B: APMs with shared savings and downside risk
  • Category 4: population-based payment
Chart long description: State-financed health care by APM category over time.

This bar chart from the 2024 Paying for Value Survey shows the percentage of state-financed health care (Medicaid managed care and PEBB and SEBB) over 2019, 2020, 2021, 2022, and 2023. There are four bars for Medicaid managed care and four bars for PEBB and SEBB together. Each bar has percentages of APM Categories 2C, 3A, 3B, 4A/4B/4C, and non-VBP that add up to 100%, with slight variations for rounding.

Medicaid managed care

For Medicaid managed care, VBP care (Categories 2C, 3A, 3B, and 4A/4B/4C) was:

  • 77% in 2019
  • 82% in 2020
  • 85% in 2021
  • 83% in 2022
  • 82% in 2023

In 2019, Medicaid managed care was:

  • 23% non-VBP
  • 10% Category 2C
  • 45% Category 3A
  • 20% Category 3B
  • 2% Category 4A/4B/4C

In 2020, Medicaid managed care was:

  • 18% non-VBP
  • 12% Category 2C
  • 49% Category 3A
  • 19% Category 3B
  • 2% Category 4A/4B/4C

In 2021, Medicaid managed care was:

  • 15% non-VBP
  • 13% Category 2C
  • 51% Category 3A
  • 19% Category 3B
  • 2% Category 4A/4B/4C

In 2022, Medicaid managed care was:

  • 17% non-VBP
  • 12% Category 2C
  • 49% Category 3A
  • 20% Category 3B
  • 2% Category 4A/4B/4C

In 2023, Medicaid managed care was:

  • 18% non-VBP
  • 11% Category 2C
  • 47% Category 3A
  • 20% Category 3B
  • 4% Category 4A/4B/4C

PEBB and SEBB

For PEBB and SEBB, VBP-based care (Categories 2C, 3A, 3B, and 4A/4B/4C) was:

  • 38% in 2019
  • 71% in 2020
  • 79% in 2021
  • 71% in 2022
  • 73% in 2023

In 2019, PEBB and SEBB care was:

  • 62% non-VBP
  • 20% Category 2C
  • 0% Category 3A
  • 9% Category 3B
  • 9% Category 4A/4B/4C

In 2020, PEBB and SEBB care was:

  • 29% non-VBP
  • 18% Category 2C
  • 18% Category 3A
  • 25% Category 3B
  • 11% Category 4A/4B/4C

In 2021, PEBB and SEBB care was:

  • 21% non-VBP
  • 12% Category 2C
  • 29% Category 3A
  • 28% Category 3B
  • 10% Category 4A/4B/4C

In 2022, PEBB and SEBB care was:

  • 29% non-VBP
  • 11% Category 2C
  • 26% Category 3A
  • 24% Category 3B
  • 10% Category 4A/4B/4C

In 2023, PEBB and SEBB care was:

  • 27% non-VBP
  • 12% Category 2C
  • 26% Category 3A
  • 24% Category 3B
  • 10% Category 4A/4B/4C

2023

Quality scorecards

Contact

Email: Kahlie Dufresne
Special assistant for health policy and programs