With CMS’s acceleration of bundled payments, 2025 is the time for hospitals and health systems to prepare for an entirely new way of being reimbursed. Organizations need to prioritize the use of purpose-built technology platforms for bundled payment management, advanced analytics to track performance and identify cost-saving opportunities, and comprehensive education programs to support providers in adopting these new models.

By proactively preparing for these mandates, healthcare systems can improve care quality, reduce costs, and stay ahead of regulatory changes.


3. Employers driving value-based care adoption
With the continued rise of direct-to-employer contracts and AI-powered health improvement solutions, in 2025, employers must demand detailed visibility into the ROI of their healthcare programs. This is where the advantages of a VBC-fueled care model become invaluable.

Key employer-driven VBC initiatives include:
• Expanding access to point solutions targeting specific conditions such as diabetes or hypertension.
• Implementing wellness programs designed to reduce high-cost care events.
• Leveraging analytics to track ROI across health improvement investments, including point solutions and programs
• Partnering with technology providers to track and analyze healthcare program performance.

These efforts help employers align healthcare benefits with workforce needs, reducing costs and enhancing employee well-being. As employers continue to play a pivotal role in VBC, healthcare leaders will need to collaborate closely with them to deliver VBC solutions.

4. The role of real-time data in decision-making
Real-time data is critical for VBC as it drives healthcare organizations to make faster, more informed decisions. By blending clinical, claims, and operational data, providers can gain actionable insights to improve clinical and financial performance.

However, the lack of system interoperability is a substantial impediment to progress. Providers must adopt advanced data-sharing standards to seamlessly access admissions, discharges, transfers, and electronic health record (EHR) data. As interoperability improves, real-time data will enable providers to proactively identify population health trends, optimize resource allocation, reduce unnecessary admissions and readmissions, and streamline care coordination, ultimately helping improve patient outcomes.

5. The future of value-based care: Integration and collaboration

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