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Tipping point is in sight: Value-based care is driving meaningful financial results

Tipping point is in sight: Value-based care is driving meaningful financial results

February 10, 2023Liz KirkHealthcare DiveACO Development & CMS Application,ACO Growth and Expansion

After several years of virtual JPMorgan Healthcare Conferences, the 41st annual event was back in person and in full swing. Thousands of attendees came together in San Francisco to close deals, find partners, announce big wins, and give us a preview of what’s to come in 2023 and beyond.

Seventeen major health systems from across the country presented at the conference: large, national faith-based organizations like Common Spirit and AdventHealth; major regional players such as Baylor Scott & White and Intermountain; smaller regional health systems, such as INOVA; AMC-centric organizations like Indiana University Health and highly specialized providers, including musculoskeletal powerhouse, Hospital for Special Surgery.

Aggressive Cost Cutting and Risk Readiness Are the Roadmap for 2023

Among the stories of resilience through COVID-19 and impressive transformations to expand access through digital health, a line was drawn in the sand. With only one exception, the health systems reporting the strongest and most consistent financial performance from 2020 to 2022 — with operating margins between 6% to 12% — either have sizable health plans or a significant number of covered lives in value-based or shared savings plans.

Health systems that have not taken risk find themselves with more typical margins of 1% to 4% or, in striking contrast to those that have taken risk, reporting substantial operating losses.

Full Article

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