Value-based care is a Healthcare model that focus on the outcomes by keeping the cost at lower side and by using Patient Centered care that includes preventive care and integrated care based on the data driven decisions. It is different from traditional healthcare as in the traditional way you have to pay the provider on fee for service model but in value based care, the providers are paid based on patient outcomes and have lower costs. Some of the examples of value-based care initiatives are accountable care organisations, payments, and chronic disease management programs.
There are many companies including startups who are recognised for their work in value based care as they are focused on reducing cost while having improved patient outcomes and some of the leading companies across the world are mentioned below:
UnitedHealth Group(Optum): UnitedHealth Group is one of the best value-based Care company in the USA and the world as it has partnered with the Optum to accelerate the transition to the value based system from the fee-for-service model and it helps in managing the cost while improving the patient experience at the same time. The company is focused not only on the patients but also on care providers as it is helping them in creating more capacity by ensuring that the physicians have the tools, time, and insights that they require to keep their patients well.
Humana Inc.: Humana is one of the other top player in the value based care market and it is working with providers to deliver high quality care while also controlling the cost and it is also providing Medicare plans and was ranked 92nd on the Fortune 500 list in 2024 making it the highest ranked Kentucky based company by revenue.
Cigna Healthcare: Cigna is actively involved in value based care and it is working with the providers to provide efficient and high quality care rather than the number of services delivered. The company has also released a white paper on value based care and it has provided a brief history of value based care along with the progress like value based payments to provider has increased from 38% in 2015 to 59% in 2017. The company has also included the future vision for value based care like building a relationship with the Healthcare providers for improving patient experience, quality care, and sustainable affordability which will ultimately increase the participation of all stakeholders in this initiative.
CVS health(Aetna): Aetna which is now a part of CVS Health has a very strong presence in the value based care sector as it is focused on improving patient health, managing the cost, and providing you the extra value on every spent penny. The company sells consumer directed healthcare insurance and it includes more than 22 million medical members along with 690,000 primary care doctors and specialists.
Kaise Permanente: Kaise Permanente is committed to provide value based care including a focus on preventative care and chronic disease management and is frequently cited as a strong example of value based care companies and in the year of 2025 it was rated as the best health insurance company by Investopedia.
Elevance Health (Anthem): Anthem which is now Elevance Health is actively involved in value based care through its various health plans and initiatives that are focused on improving patient outcomes, experience and by reducing the healthcare cost and the company was founded in the year of 2004 and is headquartered in Indianapolis.
Blue Cross Blue Shield: Many plans of the Blue Cross Blue Shield company is focused on value based care as it has worked with the providers to improve the quality and efficiency of care and more than 24 million customers are currently using it. The company has more than 300 programs in the market in 49 states of the United States and it has engaged with 215,000 physicians of which there are 155,000 primary care physicians while the remaining 60,000 are specialist physicians which makes it one of the top value based care companies in the world.
Oak Street Health: The company is focused on providing value based primary care to older adults and the disabled including preventive care and chronic disease management and it was acquired by CVS Health in the year of 2023. The company was founded in the year of 2002 in Chicago and is the only primary care provider selected by the ARP and it helps people stay healthy by doing social activities and providing preventive care education.
VillageMD: It is another top company that partners with the physicians to deliver value based care by reducing the healthcare cost and focusing on improving patient outcomes and their team lives in the same locality as their patients and the company holds itself accountable for the outcomes thus doing everything to keep primary care in focus. Its process includes detailed view of the patients health, coordination with the specialist, attention that is required to improve the patient healthcare including diet choices and healthy lifestyles, and lastly creating an individual plan for the patient.
ChenMed: Specialisation in value based care for senior citizens with a focus on providing comprehensive and coordinated care with its intensive high touch care model and is one of the leading primary care provider of America. The company claims that its model has decreased the ER visits and hospitalization by 33% and all its primary care providers are 100% board eligible or certified doctors.
Conclusion
Value-based care has shifted the approach of medical practitioners and healthcare service providers by quantity to quality with an ultimate goal of improving the well being and health of the patient which will ultimately lead to more affordable and sustainable healthcare services. It pays the provider based on the the outcomes rather than the number of services provided which cuts down the unnecessary tests or admissions that were previously done to increase the costs. In this blog, we have mentioned such companies that are providing value based care that is benefiting the people and practitioners both.
