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Each year, the Health Care Authority (HCA) asks health plans (also called payers) about their participation in and experience with value-based purchasing (VBP).
VBP is a strategy we use to improve the quality and value of health care services paid for by the state. VBP helps hold health plans and health care providers accountable for providing high-quality, high-value care and a satisfying patient experience.
About the Paying for Value survey
All payers in Washington are invited to participate in this survey each year. Payers include Public and School Employees Benefits Boards (PEBB and SEBB) carriers, Apple Health (Medicaid) managed care organizations (MCOs), commercial plans, and Medicare Advantage plans.
We use survey responses to track VBP adoption and progress toward HCA’s VBP goal. Responses also help us assess our current VBP efforts and improve them in the future.
When conducting and analyzing this year’s survey, HCA paid renewed attention to the meaningfulness of our VBP measures and the effectiveness of our overall VBP strategy in helping achieve health system goals.
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HCA received responses from 11 payers, including five MCOs, five PEBB/SEBB carriers, and one commercial health plan not contracted with HCA. These organizations reported information from calendar year 2022. The survey resulted in several key findings:
- VBP adoption decreased in 2022.
- VBP adoption alone does not fully reflect priority outcomes or drive systemic change.
- HCA continues to advance paying for value in health care.
- HCA is evaluating our VBP measurement strategy.
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