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The C-Suite’s View of Value-Based Care: Investment Heats Up Despite Cooling Sense of Progress

By Sage Growth | December 11, 2025

What 101 Healthcare C-Suites are Planning for Value-Based Care in 2026-2027

Sage Growth Partners’ annual survey of 101 health system and hospital C-suite leaders brings to light a new twist along the winding journey to value-based care (VBC): Even though C-suites realize that progress has been slow during the last two years, 77% are planning to ramp up participation in 2026-2027—a sizable increase from the 2023 survey. 

Read the new report to learn more about which VBC models have become more and less prevalent in the last two years, C-suites’ planned investments to expand VBC in the near future, and what executives reveal about VBC when asked open-ended questions.  

Read the report to learn: 

  • How VBC has evolved in the last two years
  • Top VBC models by hospital participation   
  • C-suite strategies for increasing VBC participation in the next two years
  • How much revenue hospitals really have at risk 
  • And more

54%

of hospitals and health systems generate between 5% and 20% of revenue in VBC arrangements, however only a small percentage earn more than 20%

77%

say their organization plans to increase participation in value-based care models in the next two years — an increase from 57% in 2023 

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A Note About this Sage Growth Partners C-Suite Report Series

This is the third report in a three-part series examining our survey findings. You can view the first installment focused on C-suite perspectives on AI here, and the second that focuses on executives’ perspectives on patient experience and virtual health here.