Dissecting the Design and Execution of Health Care Value-Based Contracts

This session is the first in a series examining the dynamics of a health care Value-Based Contract (VBC), by exploring how VBC’s are defined, designed, implemented, and scaled. In the U.S., projections estimate that VBC coverage will expand to a quarter of the population by 2027. Contextual factors such as the growth in Medicare Advantage, expansion of primary care services, and growth in Medicare Shared Savings Program are important enablers of VBC coverage. These factors, however, do not detract from the reality that VBC models are operationally complex, requiring significant investment in organizational capabilities and infrastructure. An additional complexity is that VBC usually accrue only in the medium-long term. In this foundational session, we will unpack the motivations, challenges and opportunities facing health care executives, with designing, implementing, and evaluating value-based contracts. Using industry best practice examples, we will examine the external contextual and internal organizational enablers of VBC, explore the financial risk transfer mechanisms, and quality gains offered by value-based contracts, and the portability of these contracts across different operating ecosystems. Subsequent sessions will explore innovative changes and new opportunities shaping VBC’s.

This study group / discussion is open to all HUID holders. Registration is not necessary. 

M-RCBG welcomes individuals with disabilities to participate in its programs. To request accommodations or ask questions about access provided, please email: mrcbg@hks.harvard.edu