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Single-Specialty Nephrology Networks: A Distinct Advantage in Value-Based | VBCEH Exclusive

Nephrology occupies a uniquely strategic position in value-based care. Few specialties sit so directly at the intersection of clinical complexity, rising utilization, and outsized healthcare spend. Chronic kidney disease (CKD) and end-stage kidney disease (ESKD) are among the most resource-intensive conditions in Medicare, making kidney care one of the clearest opportunities for specialty-driven value creation….

Why value-based care and quality go hand in hand

When I think about what defines high-quality health care, I don’t start with a single visit or a specific service. I start with a broad view of the full care experience: how care is delivered over time, across settings and among care teams. High-quality care is built through coordination, prevention and a deep understanding of…

Flawed Benchmark Policy Taxes Accountable Care’s Most Successful Providers

Medicare’s unprecedented and unpredictable spending growth in recent years is penalizing clinicians who have been most effective at slowing cost growth and improving care. The Accountable Care Prospective Trend (ACPT) in the Medicare Shared Savings Program (MSSP) could cost accountable care clinicians more than $700 million in lost shared savings for care delivered in 2025….

Expanding Medicare’s joint replacement model: Considerations for healthcare providers regarding the new CJR-X Model | Milliman MedInsight

For nearly all acute care hospitals in the United States, a new mandatory payment model is on the horizon. The Centers for Medicare and Medicaid Services (CMS) has proposed the Comprehensive Care for Joint Replacement Expanded (CJR-X) Model, a mandatory, nationwide, episode-based payment model for lower extremity joint replacements (LEJRs) in Medicare fee-for-service (FFS). If…

RECORDED WEBINAR: CJR-X Is Coming: The Proposed National Mandatory Expansion of CJR

 Download Slides In the FY 2027 Inpatient Prospective Payment System (IPPS) and Long-Term Care Prospective Payment System (LTCH) Proposed Rule, CMS introduced CJR Expanded (CJR-X): a proposed nationwide, mandatory bundle payment model that would place every eligible acute care hospital at financial risk for 90-day lower extremity joint replacement (LEJR) episodes — with no…

RECORDED WEBINAR: Beyond TXAACOs: What Healthcare’s Leading Voices Are Saying About the Future of Value-Based Care

 Download Slides TXAACOs 2026 brought together some of the nation’s leading minds in accountable care, healthcare innovation, population health, and value-based care. While attendees gained valuable insights from the conference sessions, many of the most important conversations happened between presentations, over dinner, in networking events, and in discussions among industry leaders throughout the week….

RECORDED WEBINAR: Jump starting value by driving “Time to Goal” with value-based panels

 Download Slides Optimizing performance of value-based clinicians and addressing gaps in chronic care pathways are two major obstacles to helping patients achieve the clinical goals that improve outcomes and reduce utilization costs.  Using an AI native-services solutions across the conditions that drive spend in a value-based organization, Altitude partners are effectively improving clinician performance…

Remote Temperature Monitoring with Podimetrics SmartMat™: The Reality of Provider Workflow Impact

This white paper explores how remote temperature monitoring can support earlier identification of inflammation before wounds develop, while helping reduce provider burden through structured patient outreach and staged intervention protocols. It also reviews the difference between research alert rates and real world implementation data, showing how proactive intervention and care management support can help streamline…

CMS Finalizes Rule to Simplify Payer-Provider Disputes Under No Surprises Act

CMS finalized a new rule aimed at streamlining the No Surprises Act’s overwhelmed arbitration system. Provider groups largely welcomed the reforms — though some industry leaders said additional changes are still needed to address alleged misuse and improve transparency. The Centers for Medicare and Medicaid Services finalized a new rule on Thursday to improve the federal independent…

How Does the Ambulatory Specialty Model Differ From Traditional MIPS Reporting?

The Ambulatory Specialty Model (ASM) represents a significant shift from the traditional MIPS reporting system, aiming to enhance the accountability of specialists regarding patient outcomes and costs. Unlike MIPS, which operates like a choose-your-own-adventure format, ASM introduces a more structured approach, emphasizing greater responsibility in managing patient care. This change is substantial and requires clear…

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