Oliver Wyman May 2, 2024
Amid spikes in utilization and rising medical costs, payers are turning to specialty value-based care partners.
Healthcare costs appear to have no ceiling. High inflation, clinical workforce shortages, and expensive new treatments have put medical expenses on a 7% growth curve, driving employer premiums to nearly $24,000 per year. Healthcare payers are also facing the squeeze. An aging population, resumption of procedures postponed by COVID, and rises in home health care have produced sky-high utilization rates, market warnings, and stock sell-offs across the board.
In an attempt to get a handle on things, insurers are exploring the use of value-based care (VBC) models in specialty care. VBC programs have reduced costs and improved patient health outcomes in primary care, but...
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