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Data is the prerequisite to everything in value-based care, including AI

August 18, 2025Garrett Schmitt

In value-based care, nothing happens without access to robust data. It powers everything from advanced analytics to predictive AI models. It provides a holistic picture of population health and individual patient needs, informing appropriate care interventions that improve outcomes and reduce costs. As AI tools become more prevalent in healthcare generally, and in value-based care…

Providers: Collaborate or Lose Under TEAM Risk-Based Payment for Specialty Procedures

August 15, 2025Garrett SchmittProposed Rule

Surgery will be a financial winner or loser under TEAM (Transforming Episode Accountability Model), a mandatory episodic payment model beginning in January 2026. Let’s be clear: TEAM requires a tectonic plate shift in managing cost and outcomes of surgical procedures for five types of procedures. To be on the winning side of this model, your hospital…

AI to the Rescue: Why Immersive Role-Play Is a Strategic Tool for Healthcare IT Leaders

August 14, 2025Garrett SchmittArtificial Intelligence

Healthcare IT leaders are under growing pressure to do more with less. New technologies promise game-changing outcomes — AI for diagnostics, cloud migration for scalability, cybersecurity platforms to protect patient data — but budgets haven’t kept pace with the need for innovation. According to a 2024 report from Kaufman Hall, hospitals continue to allocate only…

RECORDED WEBINAR: DIY MSSP ACO Reporting- Part 1: Requirements & Strategy Foundations

August 14, 2025Garrett SchmittNo CommentsACOs, vbc, Webinar

 Download Slides With CMS now allowing ACOs to report eCQMs independently, learn how to build your own electronic Clinical Quality Measures (eCQM) reporting capabilities in-house. This practical webinar provides step-by-step guidance for MSSP ACOs ready to take advantage of this new reporting flexibility and meet the 2025 requirements on their own, while addressing the…

RECORDED WEBINAR: AI Triage in Action: Using Predictive Intelligence to Personalize VBC Pathways at Scale

August 13, 2025Garrett SchmittNo CommentsACOs, AI, vbc, Webinar

 Download Slides (will be available soon) Value-based care providers face mounting pressure to deliver better outcomes while lowering costs. But with limited time, staffing and resources, how can providers identify which patients need the most attention—and what interventions will make the greatest impact? This webinar explores how VBC providers can combine AI-driven predictive analytics…

RECORDED WEBINAR: The Clinical Leader’s Playbook for HCC v28 & RADV

August 7, 2025Garrett SchmittNo Commentsvbc, Webinar

 Download Slides   The final transition to HCC v28 and the increasing rigor of RADV audits represent an inflection point for every value-based care organization. Yesterday’s risk adjustment strategies are no longer sufficient to drive proactive patient care and protect reimbursement. To succeed in this new landscape, it’s critical to turn complex patient data…

Exploring TEAM: Bundled payments, updates and how to prepare

August 6, 2025Garrett Schmitt

The shift to value-based care is about to get a big push. CMS is launching a new bundled payment model called the Transforming Episode Accountability Model, or TEAM, that will require hospital participation in select areas, creating a new type of reimbursement structure for many procedures. However, some hospitals have expressed concerns about the model, particularly its…

RECORDED WEBINAR: Strategizing for TEAM success: A cross-continuum guide to smarter episodic management

August 6, 2025Garrett SchmittNo Commentsvbc, Webinar

 Download Slides   Join us for an educational webinar designed to help hospitals and care partners build a TEAM strategy that works across the full 30-day episode. WellSky experts Bridgette McGrath and Tommy Gotreaux will share practical guidance for smarter episode management — from prehab to post-discharge — highlighting how WellSky can support each…

RECORDED WEBINAR: Key Concepts in the Recently Released CMS Proposed Rule

August 5, 2025Garrett SchmittNo CommentsACOs, MIPS, MSSP, Proposed Rule, vbc, Webinar

 Download Slides Proposed Rule was recently released! Are you dreading thousands of pages of regulatory statute only to find that a few small sections relate to your ACO and/or practice? Let Patient360 clear the noise for you during an informative webinar session on Tuesday August 5th at 1:00 ET. We will cover the major…

Advancing Accountable Care in Community Health Centers: Progress and Future Directions

August 4, 2025Garrett Schmitt

While the United States spends more of its gross domestic product on health care than other high-income countries in the world, Americans do not have more affordable or more accessible care. Life expectancy in the U.S. is also lower compared to peer countries, and rates of avoidable deaths are higher. The predominance of fee-for-service payment in…

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