EmblemHealth Announces National Value Based Care Awareness Study Results

EmblemHealth has announced the results of its study on the awareness level of value-based payments...

EmblemHealth has announced the results of its study on the awareness level of value-based payments by employers and consumers. Both groups were unsure of the differences between value-based payment and fee-for service payments. However, when given a definition, they strongly preferred this model to deliver the highest-quality care while also reducing costs.

The survey results and the information gathered from our research show that employers and consumers prefer fee-for service payment models to value-based care when they understand their differences, said Karen Ignagni. CEO of EmblemHealth. All stakeholders will need to work together in order to educate the public about the value-based model of care.

This study is a follow-up of the company’s previous Consumer-focused Value-Based Care Study. It surveyed nearly 250 employer health insurance decision makers and over 750 consumers aged 18 and older across the country, with a tristate region as an oversample. The online survey focused on the following: awareness and understanding of fee-for service payments and value-based health care. What consumers think of when they hear value in healthcare.

The study’s key findings include:

Both employers and consumers are unaware of the concepts of fee-for service and value-based payments. This provides an opportunity for stakeholders and partners to work together on education.

Only one third of employers could define “value-based” care. Small group employers understood the term less than large groups and were also more likely to not know if value-based coverage is included in their plans.
Only 26% were familiar with the term “value-based healthcare”. Four out of ten consumers are unsure if value-based health care is available through their plan.

Employers and consumers believe that health insurers and health providers are the most responsible in adding value to healthcare.

When it comes to health care, 42% of employers, and 34% consumers, most often associate the quality of care with its value. Out-of-pocket costs are ranked second (22% and 16%).
Both groups ranked insurers and providers as the most important in terms of adding value.

Both audiences are aligned towards value-based payment models compared to fee-for service payments.

69% of employers (62% for small groups and 74% for large groups) and 61% consumers prefer the value-based model of care to the fee-for service model.

EmblemHealth published a white paper on 2023 Value-Based Care that contains more detailed findings and recommendations about how employers and consumers could be better informed of the differences between the fee-for service and value-based payment models. “

EmblemHealth also has a blog entitled “Understanding value-based care and its importance to stakeholders in the health care system: The experience of a community-based non-profit health plan”.

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