Why We Can’t Give Up on Value-Based Care | AHIP 2024


Even though value-based care has been talked about for a long time, it may not be the end.

Scott Burton, MBA, commercial market president at Providence Health Plan said that 65% of Providence’s commercial claims are running through some kind of value-based contract. “That is progress — that is meaningful progress,” Burton said in an interview with Managed Healthcare Executive.

Burton also noted that most value-based contracts have been upside-risk only, but that is beginning to change.

“We are starting to have some conservations [with providers] of ‘OK, if we can be really clear about this population, I am willing to take downside risk,” Burton added. “Those were conversations 5 or 6 years ago where it was a pretty firm ‘no’.”

Scott Burton, MBA, is the commercial market president of Providence Health Plan. He presented a session at AHIP 2024 entitled Industry Trends and Insights: The Employee Health Benefits That Matter Most. Managed Healthcare Executive interviewed him prior to his session.

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