A Transition in Flux: The Voice of Providers in Value-Based Care

Despite a nearly trillion dollar transition from a healthcare payment model based on volume to one based on value, the road to widespread adoption of value-based care (VBC) has been rocky at best. A new study published by ZS illustrates key factors that influence provider experiences with VBC and proposes ways health plans can better collaborate with providers to ensure mutual success.

ZS deployed one of the largest VBC-oriented primary care physician surveys ever conducted to uncover insights from 1,019 PCPs nationally.

Provider consensus on VBC growth is uniform -- nearly 70% of PCPs expect their revenue tied to VBC to grow over the next 5 years. However, only 30% of providers are highly interested in VBC program participation, and only 6% feel highly supported by health plans. 

The research reveals several opportunities for health plans and providers to reexamine their relationship. For example:

  • Only one in nine PCPs participated in a VBC program that was highly impactful to the way they deliver care, indicating that VBC still has a ways to go before the focus shifts from payment changes to behavior changes that ultimately drive better patient outcomes.
  • 92% of PCPs want support from health plans. Those who feel supported are 6x more likely to be highly interested in VBC and experience greater impact to their care delivery and patient health.
  • However, only 35% receive the support they desire – indicating there is a large opportunity for health plans to address PCP needs

For more about our research on the elements of VBC experience and keys to achieving better success in health plan and provider collaboration, check out ZS’ white paper, "A Transition in Flux: How Health Plans Can Optimize Value-Based Care Initiatives".

This article was created in collaboration with the sponsoring company and our sales and marketing team. The editorial team does not contribute.