Financial Risks And Insurance Models In Vascular Care

Abstract

Vascular care is a critical medical specialty that manages complex conditions such as peripheral artery disease (PAD), aortic aneurysms, carotid artery disease, and hemodialysis access dysfunction. These conditions require expensive diagnostics, high-cost implants, advanced endovascular technologies, and multidisciplinary postoperative care. This creates substantial financial risks for healthcare systems, insurance payers, and vascular providers. Concurrently, healthcare financing is transitioning from traditional fee-for-service (FFS) models to value-based payment structures, including bundled payments, global budgets, capitation, and shared-savings models. This research paper examines the types of financial risks associated with vascular care, evaluates insurance and payment models that influence cost distribution, and analyzes their effectiveness using synthesized literature and policy frameworks. A qualitative methodology using systematic literature review informs this paper. Results reveal that bundled payments and hybrid value-based models offer promising cost control while maintaining outcomes, but challenges remain in risk adjustment, device cost variability, and high patient complexity. The study concludes by identifying gaps in evidence and recommending future research focused on predictive analytics, device-cost transparency, and advanced risk-adjustment models tailored to vascular populations.