How Health Plans Can Use Cohort Management for Maximum Impact
Successful value-based care (VBC) programs use cohort management to impact care beyond a clinical level and address many of the underlying social...
The 2024 Medicare Shared Savings Program (MSSP) results revealed a growing divide between organizations thriving in value-based care and those struggling to keep pace. Nationally, most ACOs delivered only 3–4% in gross savings, and many generated little or no savings at all, leaving margins thin and little to reinvest in future performance.
As a modular AI-enabled value-based care platform, SpectraMedix gives health systems and health plans the infrastructure to succeed where others struggle. In 2024, that advantage helped SpectraMedix clients stand out, including a health system that ranked in the nation’s top 10 for total MSSP savings.
Now imagine what it would mean for your organization to double or even triple the national average for MSSP savings.
SpectraMedix customers are proving that stronger performance is possible. In 2024, part of the SpectraMedix success story was health systems achieving 6–9% in gross savings, earning between $17 million and $62 million each.
High performance in MSSP doesn’t happen by accident. It requires infrastructure that gives leaders and providers clear visibility into the financial impact of their contracts and the ability to act before risks become losses.
SpectraMedix enables success by:
This combination ensures that financial foresight at the enterprise level is matched by clinical execution at the provider level.
As CMS advances toward its goal of 100% of Medicare beneficiaries in value-based arrangements by 2030, organizations that rely on manual processes, lack financial detail, or focus on quality and risk without connecting them to contract impact will be left behind.
The future belongs to organizations with infrastructure that turns data into foresight, equips providers with actionable insights, and consistently delivers results that outperform national benchmarks.
SpectraMedix clients are already proving it, with results that set a new standard in MSSP performance.
If you're overseeing Medicaid contracts in 2025, you know every state brings a different set of rules, priorities, and performance expectations.
Successful value-based care (VBC) programs use cohort management to impact care beyond a clinical level and address many of the underlying social...
This is part two of a three-part blog series exploring from both a provider and payer perspective a topic that impacts the entire healthcare...