CARLSBAD, Calif. and SPRINGFIELD, Ore., April 21, 2026 /PRNewswire/ — Ceresti Health, a national leader in tech-enabled dementia management, and PacificSource, an independent, not-for-profit community health plan serving the Northwest, today announce first year cost savings attributable to Ceresti’s dementia management program. Medicare Advantage plans are facing one of the most challenging financial environments in years as flat payment…

Historically, policy makers have faced challenges implementing accountable care in rural communities. Rural facilities and delivery organizations can face financial challenges, workforce shortages, and financial volatility. Facility closures and limited clinician availability can constrain access and choice and lead to long patient travel distances. These factors make rural accountable care especially sensitive to infrastructure gaps. In turn, rural…

Evergreen Nephrology, which works with practices on value-based payment models for kidney care, operates across 24 states with a network of over 1,000 providers. Scott Lloyd, the company’s chief development & strategy officer, recently spoke with Healthcare Innovation about the importance of provider buy-in for value-based care. We were joined by Britt Newsome, M.D., M.P.H., chief medical…

In this episode, Gabriel Scott, Kevin Alonso, and Kennedy Caldwell break down the new Long Term Enhanced ACO Design (LEAD) Model and its impact on accountable care. They provide background on the model, outline key new features, and discuss five issues that Accountable Care Organizations and providers should consider as they evaluate participation. Listen to…

New research from the Harvey L. Neiman Health Policy Institute found that most Merit-Based Incentive Payment System (MIPS) quality measures designated as “topped out” by the Centers for Medicare & Medicaid Services (CMS) were reported by only a small fraction of eligible physicians, suggesting these measures may not reflect consistently high performance across clinicians. Topped…

In healthcare, value-based care has become a familiar goal – improving outcomes while using resources more responsibly. Yet as organizations shift from fee-for-service (FFS) reimbursement to value-based arrangements, a critical gap persists between intent and execution. Much of the focus remains on incentives and contract structures, while far less attention is paid to the operational foundation required…

As the healthcare affordability crisis escalates, efforts to fix the U.S. health system seem to have hit a wall. Some policy experts are calling for government price controls, while other experts and healthcare leaders still support value-based care (VBC), despite its limited impact on national health spending. Can these two schools of thought be reconciled…