Scaling Value-Based Care across the United States: Progress from Risant Health

Area of Science:

• Health Services Research
• Healthcare Management
• Value-Based Care Models

Background:

• The U.S. health system faces challenges including variable outcomes, high costs, and poor patient experiences.
• Kaiser Foundation Hospitals established Risant Health to extend Kaiser Permanente's (KP) successful value-based care (VBC) practices beyond its integrated model.
• Risant Health operates in pluralistic environments, characterized by multiple payers, providers, and payment models.

Purpose of the Study:

• To provide an update on Risant Health's progress in scaling KP's VBC best practices.
• To introduce the value-based platform (VBP) designed to accelerate healthcare delivery transformation.
• To highlight efforts in improving health outcomes, patient experience, and cost-efficiency nationwide.

Main Methods:

• Risant Health is acquiring and collaborating with mission-aligned, nonprofit health systems, starting with Geisinger Health and Cone Health.
• Development of a value-based platform (VBP) integrating clinical knowledge, technology, workflows, and operational models from KP and Risant Health.
• Early VBP development involved collaboration with KP Medical Foundation, Colorado Permanente Medical Group, Washington Permanente Medical Group physicians, and KP care teams.

Main Results:

• Risant Health has begun acquiring health systems, including Geisinger Health (April 2024) and Cone Health (December 2024).
• Initial positive indicators of the VBP's impact are emerging, though the initiative is in its early stages.
• The VBP aims to accelerate the adoption of VBC and demonstrate improved outcomes, experience, and cost.

Conclusions:

• Risant Health is actively working to scale value-based care principles to address systemic U.S. healthcare challenges.
• The value-based platform (VBP) is central to achieving better health outcomes, enhanced patient experiences, and reduced costs.
• Continued efforts are focused on accelerating VBC adoption and demonstrating the model's effectiveness across diverse healthcare settings.