A CFO’s guide to managing value-based care financial performance

Value-based care shifts healthcare reimbursement from volume to outcomes, requiring CFOs to manage financial performance differently.

• •VBC models include ACOs (shared savings/losses), bundled payments (fixed episode cost), and capitation (fixed per-member cost), each with different risk levels
• •Healthcare systems must track attributed population utilization, per-member-per-month costs, and contract benchmarks in real-time
• •CFO role requires clinical intelligence; must monitor weekly shared savings position, cost overruns, and quality performance versus quarterly reporting
• •Real-time integrated clinical-financial analytics enable natural-language queries spanning claims, clinical records, attribution, and benchmarks
• •Major risks include incorrect patient attribution and risk adjustment coding errors that systematically misreport shared savings position