More clinicians are joining #ValueBasedCare than ever before, and it’s becoming the industry standard. For #PrimaryCare organizations, transitioning to CMS value-based models offers a dual win: improved patient outcomes and business stability. Learn more: https://bit.ly/47j8Dyl

CMS introduces value-based pediatric model for Medicaid | TechTarget The new ASPIRE model will award five state Medicaid agencies with $125M to coordinate the care for children with complex medical and behavioral needs.

#CMS piloting #valuebasedcare model for #pediatriic care through #Medicaid. Will give $125M to up to 5 states for coordinating care of #patients with complex chronic conditions. Doesn't seem like a lot of money. www.techtarget.com/healthcarepa...

you do need to be ready to adapt and learn to shift along with the changing systems.

#HealthcareAI #HealthcareWorkforce #ValueBasedCare #HealthcareInnovation #HealthcareLeadership

buff.ly/tHrAyzZ

Most organizations try to fix fragmentation by adding more tools but that only creates more complexity.

What actually works:
✔ Unified data across clinical, claims &operations
✔ Workflows built around care delivery
✔ Real-time insights inside daily workflows

#Healthcare #HealthTech #ValueBasedCare

It would stop insurers from owning providers, thus opening up more opportunity for VBC contracting.

Here’s the letter - let me know what you think.

buff.ly/pwNMYEF

#ValueBasedCare #HealthPolicy #ACO #HealthEconomics #VBC

Investing in patient engagement delivers a clear ROI. Engaged patients lead to better health outcomes and reduced operational costs. Empowering patients is a healthier bottom line.
pmc.ncbi.nlm.nih.gov/articles/PMC9483965/
#PatientEngagement #HealthcareROI #ValueBasedCare

Committee debates HF 4349 on gene‑therapy reimbursement, requests fiscal note and lays bill over House File 4349 would unbundle one‑time gene and cell therapies from DRGs and allow, but not require, value‑based arrangements; members questioned 340B implications, acquisition‑cost reimbursement language, and managed‑care carve‑outs; a fiscal note was requested and the bill was laid over.

Minnesota lawmakers are diving deep into the complexities of gene therapy reimbursement, sparking intense debate over funding and fairness in healthcare.

Get the details!

#MN #MinnesotaHealthcare #CitizenPortal #HealthcareReform #PharmaceuticalAccess #ValueBasedCare

How long does it take your org to launch a new program today?

#Healthcare #HealthTech #ValueBasedCare #AI #PopulationHealth

Aledade partners with 370 community health centers (CHCs) to champion #ValueBasedCare. From earning shared savings to being recognized nationally for excellence in heart health, our CHC partners are proving that financial sustainability and superior patient outcomes go hand-in-hand. aledade.com/chc

Operating margins averaged just 2.6% nationally as of mid-2025, down from 3.4% the prior month, with rural and small hospitals in particular under pressure.

Here's the sources:
buff.ly/ZLqLbRL
buff.ly/T0eYnJ1
buff.ly/VaIT6u3

#HealthcareStrategy #AIinHealthcare #HealthPolicy #ValueBasedCare

Nonprofit Hospitals: Profits And Cash Reserves Grow, Charity Care Does Not | Health Affairs Journal Using the National Academy of State Health Policy Hospital Cost Tool, we compared changes in hospital profits with changes in hospitals’ charity care and cash reserves between 2012 and 2019. We…

expand into wealthier markets, prioritizing growth over the community benefit obligations that justify their tax-exempt status.

Here's the study - let me know what you think: buff.ly/DnkMrs7

#NonprofitHospitals #HealthcareTransparency #HospitalConsolidation #HealthPolicy #ValueBasedCare

To our customers, partners, and team - thank you.

We’re just getting warmed up.

#HealthcareAI #ValueBasedCare #PopulationHealth #DigitalHealth #HealthTech

This is what programs like TEAM are trying to address from the top down. This is what Vivian's newest project on price transparency is working on from the bottom up.

#HospitalPricing #HealthEconomics #ValueBasedCare #HealthcareCosts

Interview: buff.ly/Jf9Un6n

Study: buff.ly/0EHWZla

Learn how small and solo family practices can identify breakdowns in MIPS & HEDIS metrics before penalties hit. Contrary to how many believe, it's not normally a "quality improvement issue" but a practice performance issue.
#healthcarequality #valuebasedcare #familypractice

Lightbeam Highlights Copilot-Driven Innovation and Actuarial Tools for Healthcare Risk Organizations -- MedCloudInsider Company demonstrates new analytics and AI-driven capabilities aimed at improving financial and clinical decision-making.

Lightbeam Health Solutions is showcasing AI copilots and actuarial tools built to help healthcare risk organizations forecast costs, analyze population health data, and improve value-based care performance.

Learn more: https://ow.ly/6o4r50YtppY

#HealthcareAI #ValueBasedCare #HealthIT

Each specialty will continue to have their own unique flavors of contracts, no doubt, but I’ll be watching to see if it all starts to coalesce.

#ValueBasedCare #AccountableCareOrganizations #HealthcareLeadership #MedicareSavings #HealthcareStrategy

I would love to hear your thoughts on other internal levers to pull.

Note that early action compounds over the 5-year performance period. Hospitals that build implant governance frameworks now will protect margin and earn reconciliation dollars, not repay them.

#CMSTEAM #ValueBasedCare

2026 incentives start with 2025 insights. Review your adherence trends, check “My Programs,” and activate EQUIPP Copilot to streamline clinical opportunities right in your workflow. Smarter data = stronger revenue. zurl.co/vWJhG
#ValueBasedCare #EQUIPP #CommunityPharmacy #HealthcareInnovation

PTAC members urge sustained investment, simplification to advance multi‑payer alignment At a public PTAC meeting produced by HHS, members and experts said long‑term funding for conveners, simpler metrics, interoperable data and predictable payments are central to scaling value‑based care; the committee will deliver findings to the HHS secretary and reconvenes tomorrow.

PTAC members are calling for a transformative shift in healthcare, emphasizing the need for sustained investment and simplified metrics to achieve true multi-payer alignment.

Click to read more!

#US #HealthCare #CitizenPortal #DataInteroperability #ValueBasedCare

ACO LEAD : Communication As A Financial Control System For provider-led organizations, ACO LEAD introduces both opportunity and exposure. The organizations best positioned to succeed are those that

For provider-led ACOs under two-sided risk, communication failure = direct P&L exposure. $5-10M annually in avoidable costs. The question isn't "can we afford better communication?" It's "how much risk will we accept?" #ValueBasedCare #Healthcare

www.hucu.ai/aco-lead-com...

CaseHippo One platform for interactive learning, engagement and collaborative knowledge

Home therapy success does not happen by chance.

This course outlines actionable strategies to strengthen patient confidence, improve adherence, and support durable independence.

📚 bit.ly/4sfLbtK

#Dialysis #KidneyHealth #ValueBasedCare #NephrologyEducation

It’s not much different than the challenges of getting a VBC contract right, but it’s a completely different set of calculations and pricing.

#HealthActuary #ReinsurancePricing #ValueBasedCare #ActuarialScience #HealthcareFinance

Arkansas presenters credit statewide HIE, convening and legislation for multi‑payer value gains, but warn of legal and resource hurdles Arkansas Blue Cross, a former Medicaid director and partners described a sustained multi‑payer effort that used health‑information exchange, aligned quality measures and targeted legislation on primary‑care spend to advance value‑based care; they noted ongoing issues with payer participation, reporting burden and antitrust/legal constraints.

Arkansas is pioneering a multi-payer healthcare transformation, blending innovative data systems and collaborative efforts, but major legal hurdles and funding challenges loom large.

Learn more here

#US #CitizenPortal #PayerAlignment #ArkansasHealthcare #HealthInnovation #ValueBasedCare

PTAC experts push faster shift to value‑based care, cite data and payer alignment as bottlenecks At a PTAC public meeting session, federal advisers and industry experts identified data fragmentation, misaligned quality measures and weak commercial‑payer participation as the main barriers to multi‑payer alignment; speakers urged investment in primary care, standardized digital measures and phased 'road to risk' payment paths.

Experts at the PTAC meeting revealed how fragmented systems and poor payer participation are hindering the transition to value-based primary care, urging immediate reforms for better patient outcomes.

Learn more here

#US #DataTransparency #HealthcareAccess #ValueBasedCare #CitizenPortal

See you tomorrow at #BHBValue2026 🚀

Booth #3, complimentary RCM assessments, denial reduction strategies & insights on value-based risk + payer repricing.

Come ready to talk numbers.
👉 www.plutushealthinc.com/upcoming-eve...
#PlutusHealth #ValueBasedCare

Sneak peek 👇

Risk scores are everywhere. Activation is not.

This is just a glimpse of our conversation with @PrealizeHealth on pressure testing your CM & UM platform.

Keep an eye our for the full webinar release on Monday!
#CareManagement #UtilizationManagement #ValueBasedCare #Elliginthealth

Designing an Indicator‑Driven, Value‑Based Architecture for Pneumonia Prevention in Japan: A Formative Policy Viewpoint on Adult Vaccination and Oral Care Japan's aging society concentrates pneumonia burden across communities, long‑term care, perioperative pathways, and hospitals. Adult pneumococcal and influenza vaccination are supported by trials and meta‑analyses and are often cost‑effective; yet, realized value depends on targeting, measurement, financing, and pairing with bedside prevention such as oral care and hospital‑acquired pneumonia bundles. This viewpoint proposes a formative, indicator‑driven architecture linking cost‑effectiveness to operations by aligning vaccination with complementary oral‑care prevention and value‑based payment under the existing policy infrastructure. Working within the Ministry of Health, Labour and Welfare/Central Social Insurance Medical Council health technology assessment framework, Center for Outcomes Research and Economic Evaluation for Health methods, and claims–electronic health record linkage via My Number insurance card, we specify a compact national indicator set: vaccination coverage and timeliness, nonventilator hospital‑acquired pneumonia, ventilator‑associated pneumonia, postoperative and stroke‑associated pneumonia, antibiotic days of therapy, and length of stay, with pragmatic risk adjustment and present‑on‑admission flags. Value levers first reward reliable reporting and adherence to evidence‑based bundles and then share verified, risk‑adjusted savings. Long‑term care facilities receive add‑ons for professional oral care in high‑risk residents; hospitals receive quality add‑ons and shared savings; perioperative pathways may incorporate oral health management; and stroke units standardize oral hygiene with dysphagia screening. A phased roadmap details the pilot co‑design, governance, risk‑adjusted reporting with equity safeguards, and iterative recalibration by using real‑world evidence. The learning loop—measure, report, improve, generate evidence, adapt cost‑effectiveness, recalibrate payment—converts modeled value into lived experience: fewer pneumonias, reduced antibiotic exposure, shorter stays, improved function, and dignity at favorable or potentially lower costs, context-depending on baseline pneumonia rates, implementation fidelity, and local unit costs.

JMIR Formative Res: Designing an Indicator‑Driven, Value‑Based Architecture for Pneumonia Prevention in Japan: A Formative Policy Viewpoint on Adult Vaccination and Oral Care #PneumoniaPrevention #AdultVaccination #ValueBasedCare #HealthPolicy #JapanHealthcare

When #PrimaryCare has the right support, transformation happens. Hear directly from Aledade primary care organizations partners that have found their "saving grace" through #ValueBasedCare. Watch now: https://bit.ly/4s0WRR8

I hope he knows they are not going it alone in the path to VBC. Many have tread this path before and they could lean on and learn from many in the industry.

#ValueBasedCare #HealthcareFinance #HospitalStrategy #RiskManagement #HealthPolicy

Side note: The REIT owned facilities (about ~12 of SNFs) are going to be particularly interested since they have resources and there’s tenant risk for them. There’s maybe some larger facility groups that you shouldn’t sleep on, but thought I'd call this out.

#ValueBasedCare #PostAcuteCare #TEAM