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Accountable Care Organizations Deliver $6.5 Billion in Medicare Savings, Boosting Value-Based Care Momentum

November 4, 2025Garrett Schmitt

The Centers for Medicare & Medicaid Services (CMS) announced record results for the Medicare Shared Savings Program (MSSP) in 2024, marking its most successful year since the program’s launch over a decade ago. The initiative generated $6.5 billion in savings, underscoring continued momentum in value-based care and cost-efficient, coordinated healthcare delivery nationwide. Record Savings and…

How Value-Based Care Became Crossroads’ Dominant Model

November 4, 2025Garrett Schmitt

While deals in the substance use disorder treatment space have been slow over the past year, addiction provider Crossroads has had an eye on growth. Over the summer, the company completed a tuck-in acquisition of Family Health Services, expanding its reach in the Pennsylvania market. Today, the provider has more than 100 centers across nine…

Rapid Learning For Accountable Care Adoption

November 4, 2025Garrett Schmitt

Since its emergence more than two decades ago, participation in accountable care has become more established. In 2025, the Centers for Medicare & Medicaid Services (CMS) reported that more than half of Traditional Medicare beneficiaries are in an accountable care relationship. Considerable evidence indicates that patients benefit and costs are lower in coordinated, whole-person care models enabled by accountable care payment…

The 2026 CMS PFS Final Rule: The 5 Ways CMS Aims to Control Total Cost of Care

November 3, 2025Garrett Schmitt

The CMS PFS Final Rule is out . . . early? If you’re wondering how, in the midst of the Shutdown, a 2,375-page Rule could be released, the answer is simple: most of the proposals from this summer were finalized as is. There are always exceptions, but the big takeaway is that this Rule solidifies CMS’s proposals…

Medications: The Missing Link in Value-Based Care

November 3, 2025Garrett SchmittCoding, HCC, Risk adjustment coding

For all the progress made in shifting the U.S. healthcare system toward value-based care, one of the most powerful levers for improving outcomes and reducing costs remains underused: medications. Medications influence every dimension of health outcomes. They prevent disease progression, reduce hospitalizations, and determine whether chronic conditions stay controlled or spiral into costly complications. Yet,…

The Overlooked Frontier Of Value-Based Care: Managing The Rarest, Sickest, And Most Expensive Patients

November 3, 2025Garrett Schmitt

For two decades, value-based care has been built upon a simple premise: if we better manage the sickest patients, total costs of care will fall. This idea catalyzed countless disease-management programs, care-coordination models, and technology innovations. And yet, as the field has matured, an inconvenient reality has emerged. Much of value-based care isn’t truly aimed at…

RECORDED WEBINAR: The Most Creative Ways to Close Gaps in Care: meeting patients where they are

October 30, 2025Garrett SchmittNo CommentsACOs, vbc, Webinar

 Closing care gaps has never been more critical as we face a shortage of over three million healthcare workers in today’s value-based care environment. Join Grapefruit Health – the first national network of clinical students providing patient outreach and care coordination support – and a panel of healthcare leaders as we explore practical, effective…

RECORDED WEBINAR: Connecting the Dots: AI-Native Primary Care: Tactics to Thrive in Value-Based Care

October 29, 2025Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides Primary care teams face heavy admin loads—pre-auths, referrals, quality gaps, risk capture, inbox volume—with staffing and margin pressure. This webinar shows how primary care practices, IPAs, and ACOs use AI to offload routine work, surface only exceptions to clinicians, and win in value-based contracts – improving outcomes and financial performance without adding…

How Hospitals Are Keeping Up with the Rapid Rise of AI

October 27, 2025Garrett Schmittwomen, women in medicine

Healthcare’s relationships with AI and digital transformation are a mix of excitement and uncertainty. Even as hospitals begin to see returns on their technology deployments, leaders acknowledge that they’re still experimenting and learning in real time. Two health system executives discussed the rapidly developing state of digital healthcare tools last week at MedCity News’ Tête-à-tête Health…

GenAI & value-based care: The partnership that can save American medicine

October 24, 2025Garrett Schmitt

Yesterday, I stood on stage at the historic Egyptian Theatre in Boise, Idaho, presenting a keynote on the future of generative AI in medicine. As I looked out across the audience, I couldn’t help but think back to another moment that took place just a few hundred miles west. In 1998, at Oregon Health &…

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