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@ShahidNShah
Healthcare Utilization Trends in 2025: How Health Plans Use Value-Based Care to Manage Costs
To counteract intensifying industry challenges, health plans are implementing strategies to contain costs while enhancing member care quality, including adopting value-based care models. Unlike the traditional fee-for-service model, value-based care incentivizes better patient outcomes rather than reimbursing for the volume of services delivered. Value-based care improves population health management in a way that benefits both payers and patients by focusing on preventive care and early intervention, chronic disease management, and holistic member support.
Medigy Insights
Value-based care is shown to reduce costly hospitalizations and readmissions, with plans reporting improved clinical outcomes and significant savings by proactively managing high-risk members and coordinating care across specialties — especially for chronic conditions like kidney disease.
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