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RECORDED WEBINAR: The 2027 Value-Based Care Automation Playbook What to Automate First, How to Prove ROI, and When to Scale

 Download Slides Artificial intelligence is moving rapidly from experimentation to real-world deployment across value-based care. But as organizations plan for 2027, a critical question remains: Which workflows should be automated first, and how can leaders demonstrate measurable value? Building on our previous webinars on accountable automation, real-world ACO implementation, and the AI operating layer,…

Embedding Prevention In Alternative Payment Models At The CMS Innovation Center

In the past year, the Innovation Center has built the foundation of its evidence-based prevention pillar. The Center intends to maintain momentum with new prevention-focused payment models to advance transformative practice change. ore than 150 million Americans live with at least one chronic disease, driving the vast majority of health care spending in the US…

RECORDED WEBINAR: ACO data, unfiltered: Hot takes from the people who actually read the reports

 Download Slides Join us for a session built for ACO leaders who want the real story behind their performance numbers – no polite webinar energy, just candid, occasionally unhinged takes on what’s actually going on in your reporting. David Klebonis, President & COO of Palm Beach Accountable Care Organization, has lived inside MSSP reporting…

RECORDED WEBINAR: From Raw Data to Quality Care: using Interoperability and clinical data infrastructure to close care gaps

 Download Slides Healthcare data is notoriously siloed across Electronic Health Records (EHRs), claims databases, and pharmacies. Capturing a complete longitudinal patient record is highly challenging, yet entirely achievable. The main obstacle is that raw data is rarely enough; medical records vary widely due to inconsistent workflows, and even common procedures like a colonoscopy surface…

CVS sues to prevent $2B Medicare Advantage star ratings hit

Dive Insight: CVS is the latest in a growing list of insurers turning to the courts in a bid to hike their 2027 MA star ratings, after the quality scores slipped for many operators, threatening the lucrative bonus payments and other competitive advantages the ratings represent. To date, at least four other insurers — Alignment Healthcare, Healthfirst,…

RECORDED WEBINAR: What’s Next for RPM and CCM: Navigating CMS’s New Rules and Programs

 Download Slides CMS is rewriting the ground RPM and CCM programs stand on, from new billing rules to an entirely new payment model in the ACCESS program. Organizations running these programs today are planning around rules that are still moving. Dr. Beau Muñoz, Director of Medical Affairs at Pearl Health, joins Mark Aspenson, CEO…

Modernizing ACO Quality Reporting with HL7® FHIR®

A federal policy and industry roadmap for trusted, scalable digital quality measurement for ACOs Accountable Care Organizations (ACOs) are responsible for improving care and demonstrating value across populations that span multiple providers, practices, hospitals, electronic health record (EHR) systems, and care settings. Yet quality reporting remains heavily dependent on EHR-centered processes that can be labor-intensive,…

Inside Tufts Medicine’s physician-led approach to data and AI

In a clinically integrated network where nearly 70% of primary care physicians are independent, leaders cannot rely on a traditional management structure to drive change. Physician governance and trusted data become essential to engagement and to whether AI-powered insights earn clinicians’ confidence. In a featured session sponsored by Arcadia and Navvis at Becker’s 11th Annual…

RECORDED WEBINAR: From Policy to Member Action: Preparing for Medicaid Community Engagement Requirements

 Download Slides New Medicaid community engagement requirements are approaching, and for health plans, preparation extends well beyond understanding the policy. Under CMS’s current framework, certain Medicaid adults will be required to meet community engagement requirements or qualify for an exemption, with states generally required to implement the new requirements by January 1, 2027. When…

Advancing Social Risk Adjustment In Value-Based Payment

To appropriately hold participants accountable for population outcomes, value-based payment models must account for the factors that drive variation in outcomes outside of participant performance. over time, there has been growing recognition that beyond clinical factors, social and economic conditions can play a role in shaping variation of population outcomes that are targeted by value-based…

Contributor: Medicare’s ACO Model Begins, Kidney Care Cannot Be Left Behind

As CKCC nears its sunset, kidney care leaders urge CMS to preserve a dedicated, nephrologist-led accountable care model for advanced kidney disease. In 2027, Medicare will enter an important transition in its continued evolution toward accountable care. The Long-term Enhanced Accountable Care Organization Design (LEAD) Model will begin a 10-year test intended to make accountable…

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