Download Slides If you’re a TEAM participant, you know the responsibility that comes with it: managing the cost of care and driving care delivery innovation across 30-day episodes for five surgical procedures. Yet many hospitals are struggling with one of the most complex — and often misunderstood — components of the model: target price…
Provider health systems and hospitals are under growing pressure to assume greater financial accountability for the total cost of care. Federal and state payers and some commercial health plans are accelerating the move from fee-for-service (FFS) payments to value-based care (VBC) models, including high-risk hospital global budget models. Hospital global budget methodologies establish fixed annual…
Download Slides What does it really take to onboard new technology across dozens of hospitals? Successfully implementing change requires more than just the right technology — it demands clear governance, aligned decision-making, and thoughtful communication. In this 45-minute webinar, Julie Allen, System Director, Acute Case Management at Bon Secours Mercy Health, shares real-world insights…
Download Slides ACOs are under immense pressure to close more care gaps, hit TOC windows, and drive preventive care—yet most teams are already stretched thin. This webinar breaks down how to scale patient engagement responsibly, using automation that’s transparent, governed, and designed to support (not replace) care teams. In this session, we’ll unpack the…
Download Slides Emergency department utilization is one of the most powerful cost accelerators in value-based care arrangements. For ACOs, Medicare Advantage organizations, and provider groups operating under downside risk, preventable ED visits can quickly erode shared savings and destabilize financial performance. The challenge is not simply managing ED use after it occurs- it is…
Despite decades of progress in oncology, ranging from molecular diagnostics to targeted therapies, cancer remains one of medicine’s most complex and costly challenges. While genomic sequencing and AI-assisted analytics have improved disease classification, biomarker identification, and the discovery of drugs that may help, most patients are still treated using standardized protocols driven by population-level data rather…
While reviewing claims data patterns in quarter three (Q3) of 2025, Milliman observed a significant increase in paid amounts for claims billed under Healthcare Common Procedure Coding System (HCPCS) code A4352—intermittent urinary catheter; coudé (curved) tip, with or without coating (Teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each—that deviates from historical trends and could have…
Download Slides Many healthcare organizations can see performance—but far fewer can translate that performance into financial truth. As providers, ACOs, payers, and community health centers move deeper into value-based care, the gap between analytics and contract reality becomes a critical risk. In this session, Syntax—a division of Lightbeam Health Solutions—introduces the missing layer in…
Download Slides Specialty costs have long been a gnarly issue for ACOs, which currently have no ability to either steer or manage specialty costs. But Change is in the air, and it’s coming through ASM and TEAM, two large-scale specialty care risk payment models. Both payment models require referrals to primary care physicians for…
Download Slides Staffing your care gap closure efforts can be extremely difficult. This is due to the massive staffing shortage in healthcare today, tighter budgets, and a lack of management capacity. We discovered a novel workforce that is cost effective, large in size, and excited to start contributing to the healthcare system today! In…