SpectraMedix Blog

In 2025, health plans are under more pressure than ever.

Utilization is climbing. Pharmacy costs are accelerating. CMS...

Delivering 2–3X the National Average in Savings

The 2024 Medicare Shared Savings Program (MSSP) results revealed a growing...

If you're overseeing Medicaid contracts in 2025, you know every state brings a different set of rules, priorities, and...

At this year’s Medicaid Enterprise Systems Conference (MESC) in Milwaukee, the dominant theme wasn’t just that AI is coming...

It’s no secret: the success of value-based care hinges on the ability to align value levers and actions with value-based...

TEAM Background

The CMS Innovation Center established the Transforming Episode Accountability Model (TEAM) in the FY 2025...

Helping providers succeed in value-based contracts relies on effective provider enablement—giving them the right tools,...

Artificial intelligence is set to revolutionize healthcare, yet many organizations struggle to translate AI’s capabilities...

Value-based payment (VBP) programs are the future of healthcare. However, implementing a successful VBP program that...

For an updated look at provider enablement strategies, read our more recent blog.

As health plans continue the transition...

Value-based payment (VBP) arrangements enable health plans to address the bigger picture when it comes to their members by...

When we discuss value-based care, the “value” component is intrinsically tied to the success, or lack thereof, of your...

In the value-based world of healthcare, health systems are being asked to take on more risk for greater rewards. Value-based...

For an updated look at provider enablement strategies, read our more recent blog.

Value-based contracts are the future in...

Value-based contracting is a complicated process. Payers need tools that enable their contracting teams to standardize every...

The process of modeling value-based contracts can be painstaking. Acquiring the insights needed to arrange contracts that...

Successful value-based care (VBC) contracts are driven by actionable data that informs both the payer and the provider....

During the value-based contracting process, health plan executives should be prepared to do all of the following: evaluate...

The number of value-based contracts across the healthcare industry is rapidly increasing, yet many health plans still...

View an updated version of this blog here.

Building a strong relationship with your provider network is the cornerstone of a...

Value-based care (VBC) contracts are here, but how do you, the payer, foster success for both you and your provider network...

Risk-bearing entities such as hospital systems, IDNs, and IPAs are central actors in the stage play that is the value-based...

Value-based care (VBC) changes the way payers and providers (ACOs, IPAs, etc.) contract with each other. The complexity of...

National patient identification has been a hot topic since HIPAA was enacted in 1996, calling for the development of a...

COVID-19 has reignited the conversation regarding social determinants of health (SDoH) as certain minority groups are at a...

Physicians’ attitudes toward value-based care (VBC) have changed within the last four years. In 2016, the majority of...