2021 Risk-Based Healthcare Market Trends

A Guidehouse analysis of an HFMA provider executive survey points to health system trends in risk-based payment models, payer/provider partnerships, and budget outlooks.

A Guidehouse Center for Health Insights analysis of an executive survey conducted by the Healthcare Financial Management Association points to health system trends in risk-based payment models, payer/provider partnerships, and budget outlooks.

2021 Risk-Based Healthcare Market Trends Survey: Four Key Findings

  1. Health systems have diversified their risk-based payment strategy with a broader array of business lines.
  2. Strategic partnerships with payers are the top external challenge for health systems.
  3. Data integrity, reporting, and the cost of technology is the No. 1 internal challenge for health systems pursuing increased levels of risk.
  4. Nearly half of health system leaders are unsure they will meet budget in 2021.

The one-size-fits-all, ‘I-win-you-lose’ approach is no longer a good business model. Industry disruption has created new opportunities for health systems to rethink the structure of their payer and provider partnerships, reassess their markets for new entrants with a willingness to innovate together, and readjust their network strategy to align with where their market is going.

Travis Sherman, Director, Guidehouse

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