Tracking success

An important part of HCA’s value-based purchasing (VBP) strategy is to determine health care provider and health plan participation in VBP arrangements. HCA gathers this information from multiple sources, including an annual survey to track health care payers (also referred to as plans 
and carriers) progress toward our paying for health and value goal.

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Paying for Value surveys

Each year, HCA issues Paying for Value surveys to health plans (payers) and health care providers to understand participation in VBP and track progress toward our VBP adoption goals.

The surveys include questions about:

  • Barriers and enablers to VBP adoption
  • Types of providers engaged in VBP
  • How health equity is incorporated into VBP contracts
  • Ways HCA can improve current and future VBP initiatives

Measuring VBP adoption and related barriers and enablers helps HCA find ways to improve current and future initiatives. This includes alternative payment models, health plan contracts, our VBP Roadmap, and more.

Survey templates

Paying for Value survey results

2025

State-financed health care by APM category over time, 2019–2024

Chart of state-funded health care by APM category over time. See long description for details.

Alternative payment models (APM) categories align with the HCP-LAN APM Framework:

  • Category 2C: pay-for-performance
  • Category 3A: APMs with shared savings
  • Category 3B: APMs with shared savings and downside risk
  • Category 4: population-based payment
Long description: chart of state-financed health care by APM category over time

This bar chart from the 2025 Paying for Value Survey shows the VBP percentages of state-financed health care from 2019–2024.

There are six bars Apple Health (Medicaid) managed care organizations (MCOs). There are another six bars for carriers that provide coverage for the Public Employee Benefit Board (PEBB) and School Employee Benefit Board (SEBB). Each bar has percentages of APM Categories non-VBP, 2C, 3A, 3B, and 4A/B/C that add up to 100%, with slight variations for rounding.

MCOs

For MCOs, VBP-based care (Categories 2C, 3A, 3B, and 4A/B/C) was:

  • 77% in 2019
  • 82% in 2020
  • 85% in 2021
  • 83% in 2022
  • 82% in 2023
  • 83% in 2024

In 2019, MCO care was:

  • 23% non-VBP
  • 10% Category 2C
  • 45% Category 3A
  • 20% Category 3B
  • 2% Categories 4A/B/C

In 2020, MCO care was:

  • 18% non-VBP
  • 12% Category 2C
  • 49% Category 3A
  • 19% Category 3B
  • 2% Categories 4A/B/C

In 2021, MCO care was:

  • 15% non-VBP
  • 13% Category 2C
  • 51% Category 3A
  • 19% Category 3B
  • 2% Categories 4A/B/C

In 2022, MCO care was:

  • 17% non-VBP
  • 12% Category 2C
  • 49% Category 3A
  • 20% Category 3B
  • 2% Categories 4A/B/C

In 2023, MCO care was:

  • 18% non-VBP
  • 11% Category 2C
  • 47% Category 3A
  • 20% Category 3B
  • 4% Categories 4A/B/C

In 2024, MCO care was:

  • 17% non-VBP
  • 12% Category 2C
  • 44% Category 3A
  • 23% Category 3B
  • 4% Categories 4A/B/C

PEBB/SEBB

For PEBB/SEBB carriers, VBP-based care was:

  • 38% in 2019
  • 71% in 2020
  • 79% in 2021
  • 71% in 2022
  • 73% in 2023
  • 75% in 2024

In 2019, PEBB/SEBB care was:

  • 62% non-VBP
  • 20% Category 2C
  • 0% Category 3A
  • 9% Category 3B
  • 9% Categories 4A/B/C

In 2020, PEBB/SEBB care was:

  • 29% non-VBP
  • 18% Category 2C
  • 18% Category 3A
  • 25% Category 3B
  • 11% Categories 4A/B/C

In 2021, PEBB/SEBB care was:

  • 21% non-VBP
  • 12% Category 2C
  • 29% Category 3A
  • 28% Category 3B
  • 10% Categories 4A/B/C

In 2022, PEBB/SEBB care was:

  • 29% non-VBP
  • 11% Category 2C
  • 26% Category 3A
  • 24% Category 3B
  • 10% Categories 4A/B/C

In 2023, PEBB/SEBB care was:

  • 27% non-VBP
  • 12% Category 2C
  • 26% Category 3A
  • 24% Category 3B
  • 10% Categories 4A/B/C

In 2024, PEBB/SEBB care was:

  • 25% non-VBP
  • 11% Category 2C
  • 31% Category 3A
  • 27% Category 3B
  • 6% Categories 4A/B/C

2024

2023

Quality scorecards

Contact

Email: HCA Paying for Value