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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 &…

Health systems say AI is helping with care management, documentation burden

October 23, 2025Garrett Schmitt

Executives from some of the nation’s top health systems took to the stage at HLTH 2025 this week to share how their newly minted technology investments are improving operations ranging from capacity management to virtual specialty care. It’s a change from last year’s HLTH conference, when many major health systems’ more ambitious AI pilots and strategies…

The metrics redefining care access

October 23, 2025Garrett SchmittCCM, Chronic Care, HCC

Across hospitals and health systems, COOs remain focused on improving patient access. As many organizations face growing demand and a need for additional capacity, they are implementing various strategies, including expanding their ambulatory networks and launching telehealth programs. How have their efforts to track access — such as new dashboards and top operational key performance indicators— evolved in 2025?…

Seeing momentum for value-based care | HLTH 2025

October 20, 2025Garrett Schmitt

Las Vegas – After years of hype and hope for value-based care, Dr. Chris DeRienzo sees growing momentum. The chief physician executive of the American Hospital Association, DeRiezno says that he’s optimistic about the prospects of value-based care. Health systems are going to have to find ways to keep people healthier, and ensure hospitals have the…

Why It’s Time for In-Home Care to Catch Up to the Value-Based Care Movement

October 17, 2025Garrett Schmittwomen, women in medicine

From primary care to hospital systems, many sectors have embraced the transition to value-based care (VBC), showing improvements in health care costs, patient satisfaction and outcomes. Yet one critical segment has been slower to adapt: in-home care. Despite playing an increasingly central role in care delivery – particularly for aging populations and individuals managing chronic…

CMS walks back Medicare payment pause

October 16, 2025Garrett SchmittCCM, Chronic Care, HCC

CMS has clarified that only select Medicare claims will be held amid the ongoing federal government shutdown, walking back an earlier notice that suggested a broader payment pause. “In light of the continuing government shutdown, CMS will continue to process and pay held claims in a timely manner with the exception of select claims for…

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