For the better part of the last decade, the healthcare delivery system across the United States has been evolving in an attempt to curb unsustainable cost growth. This shift to value is unfolding very differently across the country – in line with the adage that healthcare is local. While there is no model that can accurately predict when or how aggressively a market will move, our evaluation of regions across the country suggests key conditions tend to be present in those markets that have migrated more quickly to value.
In this paper, we describe the intersecting dynamics that can create an environment in which markets more readily move to value and offer illustrative examples from across the country. This framing can help any organization evaluate and understand the dynamics that may accelerate or decelerate its own market’s move to value – to ultimately define its organizational strategic course.