13 essential in supporting prevention, chronic care, and smooth transitions after hospital stays. Financial alignment will be critical as providers assume greater levels of risk. Success requires stronger financial modeling, quality reporting, and contract management to ensure sustainability. For payers, the challenge lies in balancing provider incentives with predictable total cost of care and a clear ROI on quality-based contracts. Ultimately, value-based care is as much a cultural shift as a financial one. By prioritizing prevention, chronic disease management, and whole-person health, these models reward collaboration and accountability, recognizing providers who keep patients healthy rather than those who simply deliver more services. $6.16 trillion: Estimated U.S. value-based care market size by 2030, growing at a 7.4% CAGR from 2025 to 2030 $6.16 Trillion by 2030 CMS’s goal is to have 100% of Traditional Medicare beneficiaries and the vast majority of Medicaid beneficiaries in VBC by 2030 100% VBC by 2030 Provider participation in VBC increased 25% from 2023 to 2024
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