Exploring Critical Business and Legal Issues across the Healthcare and Life Sciences Industries
Exploring Critical Business and Legal Issues across the Healthcare and Life Sciences Industries

PPM ASC Symposium 2023 | Trends in Value-Based Care Models

By on October 17, 2023
Posted In PPM/ASC

In this session, McDermott Will & Emery Partner Matthew Perreault moderated a panel that collected insights on how the value-based care market has shifted, how investors and other stakeholders can partner on value-based care initiatives, and the different challenges that primary and specialty care providers are facing today.

Session panelists included:

  • Rick Goddard, Vice President, Commercialization & Strategy, Lumeris
  • Matthew Perreault, Partner, McDermott Will & Emery
  • Scott Rosen, Partner, Transformation Capital
  • Robin Shah, Founder and Chief Executive Officer, Thyme Care
  • Kyle Wailes, Chief Executive Officer, Wellvana

Top takeaways included:

  • Investment and interest in value-based care has never been stronger. Historically, many stakeholders have thought about value-based care defensively. Today, there are opportunities to engage in value-based care more offensively. There are different approaches to take in entering the market, and more partners and intermediaries to collaborate with than ever before.
  • Value-based care is not a one-size-fits-all model. Stakeholders should be deliberate in their approach and consider the right geographies, lines of business, and partners for growing their businesses. This could involve acquiring a primary care practice directly, partnering with a payor to identify a market for growth, building high-performing and/or affiliate networks, and more.
  • Those looking to invest in value-based care should consider factors such as the following: whether the model produces better clinical outcomes and cost savings; how to engage patients; whether the model is scalable from one geography to the next; how to contract with payors who typically have better data; what tools will generate value quickly; and whether ancillary opportunities exist.
  • Driving value in the long term will depend on physician engagement. As the Medicare program adopts new policies and models, other lines of insurance are likely to follow, and it is important to bring physicians—who are at the center of care—along. The focus in the market has shifted to achieving profitability today and successful models will be those that can differentiate their abilities and demonstrate high-impact value where others cannot.




Chambers 2021 Top Ranked
U.S. News Law Firm of the Year 2022 Health Care Law
LEgal 500 EMEA top tier firm 2021
Legal 500 USA top tier firm