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Each year, the Health Care Authority (HCA) asks health care payers (also called carriers or plans) about their participation in and experience with value-based payment.
Value-based payment is a strategy that aims to change provider behavior by rewarding high-quality care and minimizing wasteful spending. In 2025’s survey results, we saw overall value-based payment adoption increased for the first time since 2021.
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We invite health care payers in Washington state to participate in this survey each year. Payers include Public and School Employees Benefits Boards (PEBB and SEBB) carriers and Apple Health (Medicaid) managed care organizations (MCOs).
Our analysis continues to encourage value-based payment adoption for more meaningful outcomes for cost, quality, and equity of care.
In 2025, we received responses from 10 payers: five Apple Health MCOs and five PEBB and SEBB carriers. The data they sent is from 2024.
One survey finding is that 80 percent of state-financed health care, such as Apple Health and PEBB/SEBB, was tied to value-based payment arrangements.
Other key findings include:
- Overall value-based payment adoption increased by 2 percent from 2023.
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Value-based payment adoption is still mostly centered in primary care, while specialty care arrangements remain low.
- Adopting value-based payment helped payers improve patient outcomes, increase engagement, and better coordinate care.
The executive summary includes a brief, high-level description of our survey results.
The full survey results include insights from this year’s survey and an annual update about activities and experiences with value-based payment.
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