As part of the Health Law Handbook, 2026 edition, Bass, Berry & Sims attorney Danielle Sloane co-authored a section titled “Tips & Tricks in Evaluating & Implementing Value-Based Care Arrangements.” Danielle co-authored the content with Alice Heywood, the chief legal officer at Wayspring.
As the push toward value-based care continues to gain momentum, the authors highlight that “providers must find ways to not only improve outcomes and reduce costs but establish and monitor value-based care agreements with applicable payors. For the most part, the quality and cost improvements come from incentivizing physicians to change the way they treat patients, stronger coordination of care across healthcare silos, the consideration and resolution of social determinates of health, and motivating patients to follow treatment plans and make healthy choices. Further, providers must find ways to manage the up-front investments needed to implement technology and the personnel necessary to compile, analyze and report the quality and claims data required for value-based care agreements.”
This guide offers an overview of the various concepts surrounding value-based care and payment models, including performance bonuses (or penalties), bunded or episodic payments, shared savings, shared risk, capitation, and care collaboration. The authors also outline new value-based care initiatives promoted by the Trump administration. Perhaps most notably, however, the authors delve into important considerations related to:
- Negotiating Value-Based Care Arrangements with Managed Care Plans
- Negotiating Downstream Relationships with Physicians & Practices
- Addressing Social Determinants of Health
- Engaging & Motivating Patients
The full content authored by Danielle and Alice is available in the PDF.