

Care New England Health System in Providence, R.I., has participated in value-based contracting for years with some success. But over the last 12 to 18 months, the health system has reframed how they think about “value” to serve the community better.
“The Rhode Island landscape for value-based contracting has been financially challenging, and those pressures have forced us to ask harder questions: not just how to perform under contracts, but how to create care experiences that genuinely deliver on the promise of the quadruple aim,” said Michael Wagner, MD, president and CEO, and Todd Conklin, executive vice president and CFO of the system. “As both a physician and system leader, I’ve seen first hand the barriers patients face–fragmented transitions, friction in navigating the system and the sense that they are left on their own at moments of real vulnerability. At Care New England, our ‘win’ has been putting the patient back at the center of value-driven commitment.”
The health system’s ACO, Integra, has operated for more than a decade and became the vehicle for advancing Care New England’s value-driven care model. The executive team wanted to focus less on contract compliance and more on delivering integrated, compassionate and quality care. They are making the ease of care navigation, coordination and connection the “measure of value.”