Health Topics
Value-based purchasing, including using alternative payment models, has become a central feature of efforts to contain costs and improve the quality of health care.
Payers are increasingly moving away from traditional fee-for-service payments that reward providers simply for furnishing more services and toward payment arrangements based on quality and value. These value-based payment arrangements include a variety of models, including shared savings, bundled or global payments, and pay for performance. Mathematica is working with public- and private-sector clients to design, implement, and evaluate these cutting-edge models. Our teams leverage Mathematica’s collective experience in the history of health care payment reforms with new data and evidence to assess the strengths and weaknesses of potential payment models, help implement and continuously improve innovative approaches, and support providers operating under these new arrangements.
Evidence & Insights
Publication
The Tipping Point: The State of Technology in Value Based Care 2025
Mathematica partnered with Reveleer, a pioneering value-based care tech company, to explore how payers and providers are managing data, AI, and cybersecurity in an evolving healthcare landscape. The report finds strong alignment on the goals of value-based care and the role of technology, but identifies critical execution gaps that threaten progress. As value-based care contracts grow and investments in data and AI expand, the real test will be whether organizations can build the technology and data foundations needed to deliver results at scale.
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