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Dive deeper into how payers view VBC and its impact on strategic decision making around technology and data infrastructure.
The Path Forward
for Value-Based Care
Payer Success
A survey of 100 U.S. health plan executives reveals a stark reality: while value-based care (VBC) participation continues to accelerate, most payer organizations are still struggling to achieve the cost and quality outcomes they expect.
Technology will play a key role in bridging the gap between VBC expectations and reality.
Dive deeper into how payers view VBC and its impact on strategic decision making around technology and data infrastructure.
are participating in value-based payment models
NEARLY
have at least 20% of provider contracts tied to value-based payment models
plan to continue or expand their VBC arrangements and risk exposure in coming years
of payers are not achieving the cost and quality outcomes they expect from current VBC efforts
Legacy technology built for fee-for-service models is limiting their ability to drive meaningful outcomes and financial performance.
of payers are not fully equipped to support the expansion of value-based care model
struggle with poor data quality, fragmented data, or inconsistent information across systems
report that interoperability challenges negatively impact VBC success
As organizations accelerate value-based care participation, identifying strategic investments becomes critical to moving forward.
Advanced Analytics & Predictive Analytics for actionable insights that improve clinical, operational, and financial performance.
Near-Real-Time Data Infrastructure to enable proactive management of risk, quality, and utilization.
Scalable Value-Based Care Platforms to support multiple payment models from a single technology foundation.
Advanced Risk & Contract Modeling to improve forecasting accuracy and financial performance.
Unified Data Platforms to reduce fragmentation and improve interoperability across systems.
Download the full report to dive deeper into how payers view VBC and its impact on strategic decision making around technology and data infrastructure.
An industry-leading single data lake that brings together disparate information with near-real-time data streaming capabilities. Drive consistency and support AI-enabled decision making in VBC performance with tools to make data usable and actionable across your entire IT ecosystem.
Identify performance drivers, predict health and utilization risk, and pinpoint variations before they hit your clinical or financial bottom line. Comprehensive AI-enabled predictive and prescriptive analytics software provides the tools to confidently take on risk in value-based programs.
Transform analytics insights and data into intuitive decision support, workflows, tasks, and engagement activities. Create configurable care pathways to optimize utilization, coordinate care teams, and deliver comprehensive, high-quality care.
Composable platform that simplifies complex reimbursement structures for bundled payments and capitation models with streamlined adjudication, reporting, and processing. Support for common and proprietary data exchange formats and sophisticated interface capabilities help manage APMs in any line of business.
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About the Research |
Cedar Gate commissioned Wakefield Research to survey 100 U.S. health plan executive decision-makers with VP-level seniority or higher. Research was conducted between May 18 and June 4, 2026, and included leaders across actuarial science, value-based care, provider partnerships, analytics, clinical operations, technology, strategy, government programs, and healthcare innovation. |
The right solution for your value-based journey is only a click away. Our modular technology is quickly and easily integrated into current systems and complements existing IT investments so that we can grow with you.
IQVIA (NYSE:IQV) is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries and is dedicated to delivering actionable insights and accelerating innovations. Learn more at www.iqvia.com