With pressure rising to reduce healthcare costs, this Tech Market Map looks at the companies helping healthcare payers — like Aetna and Cigna — partner with providers to implement value-based care agreements.
Over the past 2 decades, global spending on healthcare has more than doubled, according to the World Health Organization. Population growth, population aging, and increases in service price and intensity are important factors contributing to this trend.
To rein in spending, policymakers are realigning care provision around value-based care, which restructures payment incentives based on quality outcomes and total cost of care instead of volume. While policy is driving the transition, other healthcare stakeholders, such as healthcare payers and providers, are enacting sweeping changes to their operating models to put value-based care into practice.
To implement these new models, healthcare payers like Aetna, Cigna, and UnitedHealth Group are tapping into digital health solutions that accommodate value-based reimbursement. These tools assist payers in partnering with healthcare providers to tackle the infrastructure challenges of value-based contracts, such as lack of data transactability and transparency.
Using CB Insights data, we identified 193 companies addressing 8 technology priorities for health payers, from contract management to population health analytics.
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