The Academy Lumeris Strategic Tracking Survey - Q2-Q3 2018 Tracking: The Evolving Payment Model & Health Policy

Key Findings

  1. Fee-for-service payments still account for the majority (78%) of care delivery among responding health systems.
  2. Forty-six percent of responding executives described their organization’s pace of change toward value-based payment as quick or very quick, up 14 percentage points from Q2 2018.
  3. Health systems understand the total cost of care for Medicare patients, with 50% reporting that they understand the cost well or very well. However, many executives indicate understanding costs for other payers (e.g., Medicaid, commercial) is more challenging.


As health systems continue to move toward value-based care, many organizations are implementing alternative payment arrangements and taking on greater levels of risk. While the transition to value-based payment has historically been slow, health system executives continue to prioritize providing high-quality care while managing the total cost to succeed in this environment.

This report discusses the results from The Academy Lumeris Q2 and Q3 2018 Tracking Surveys, assessing the evolving payment model and health policy.


In May and August 2018, The Health Management Academy (The Academy) conducted the fifteenth and sixteenth round of phone interviews for its quarterly strategic survey among Leading Health System executives, including: CEOs, COOs, CFOs, CMOs, CNOs, and CSOs.

The survey for the interview consisted of:

  1. A tracking section that provides insight into trends around primary strategic areas; and
  2. A special topic area that allows for an in-depth look into a timely developing issue.