HCA reaches 59 percent of payments in a VBP arrangement for 2019

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HCA reaches 59 percent of payments in a VBP arrangement for calendar year 2019

As the largest health care purchaser in Washington State, Health Care Authority (HCA) continues to move our health care system toward value-based payment. Value-based payment is a reimbursement method for providers that rewards the quality of health care, rather than the number of patients a provider sees.

For calendar year 2019, our goal was to have 75 percent of payments across all Public Employees Benefits Board (PEBB) and Medicaid managed care programs in a value-based purchasing (VBP) arrangement. Although Washington State did not reach this goal, we achieved 59 percent.

View our VBP Roadmap to see how HCA plans to address this gap and continue paying for health and value.

Paying for Value surveys

HCA also issues an annual survey to assess statewide health plan and provider experience with VBP. For calendar year 2019, health plans across the commercial, Medicare, and Medicaid health care sectors reported achieving these VBP adoption percentages (in aggregate):

  • 64 percent for commercial
  • 76 percent for Medicare
  • 73 percent for Medicaid

HCA will continue driving VBP adoption through multisector, system-wide collaboration—ensuring equitable care and care that focuses on the whole person and supports healthier and engaged communities.

Below is a graph that describes HCA’s VBP adoption percentage by year.

vbp-graph-2019-results

HCA’s VBP adoption percentage by year

Learn more by visiting the Paying for value page.