How Trump’s One Big Beautiful Bill Will Change Medicaid SDPs and Value-Based Care …And What You Can Do About It
If you lead a health plan, provider network, or state agency, you’re about to be held to a new standard for how Medicaid...
What It Really Takes to Improve Performance on Value-Based Contracts
It’s no secret: the success of value-based care hinges on the ability to align value levers and actions with value-based...
Breaking Down TEAM and the New CMS FY 2026 Proposed Rule Changes
TEAM Background
The CMS Innovation Center established the Transforming Episode Accountability Model (TEAM) in the FY 2025...
The Five Principles of Provider Enablement
Helping providers succeed in value-based contracts relies on effective provider enablement—giving them the right tools,...
SpectraMedix: AI Innovation to Transform Healthcare Analytics
Artificial intelligence is set to revolutionize healthcare, yet many organizations struggle to translate AI’s capabilities...
2025 SpectraMedix Value-Based Care Predictions
*Additional Contributors: Raj Lakhanpal, MD (CEO), and Sean Kelly (Senior VP, Growth and Business Development) of...
Nine Value-Based Payment Predictions for 2024
*Contributions to this blog post were provided by Rahul Lakhanpal, Chief of Staff at SpectraMedix, and Sean Kelly, Senior...
Examining Value-Based Contracts in Medicaid
After years of the government and healthcare companies focusing significant attention towards improving outcomes and...
Integrating Financial Settlement and Reconciliation with Missed Clinical Opportunities: Delivering an ROI
Welcome to Part Two of our series delving into the critical aspects of financial reconciliation in value-based care (VBC)...
Value-Based Contract Financial Reconciliation – Four Key Takeaways for Risk-Bearing Entities
Timely and accurate financial reconciliation is a critical part of any value-based contracting process. Effective contract...
Building a Successful Value-Based Payment (VBP) Program: Critical Components for Success
Value-based payment (VBP) programs are the future of healthcare. However, implementing a successful VBP program that...
Pivoting to Value-Based Care: Analytics Architecture – for Payers
To properly make the pivot from fee-for-service (FFS) to value-based payment (VBP) models as a payer, it’s important to know...
Value-Based Payment Collaboration and the Payer-Provider Relationship
For an updated look at provider enablement strategies, read our more recent blog.
As health plans continue the transition...
Seven Value-Based Payment Predictions for 2023
*Contributions for this blog post were provided by Rahul Lakhanpal, Chief of Staff at SpectraMedix and a second-year student...
Trust via Technology: How Health Plans Can Tackle SDoH
Value-based payment (VBP) arrangements enable health plans to address the bigger picture when it comes to their members by...
Five Steps for Payers to Enhance Provider Enablement
When we discuss value-based care, the “value” component is intrinsically tied to the success, or lack thereof, of your...
The Advantages of Value-Based Contract Standardization for Payers
Modeling a value-based contract is often a time-consuming process. There are so many variables to contend with—incorporating...
Four Ways Health Systems Can Take Advantage of Value Levers to Accelerate Value-Based Care
In the value-based world of healthcare, health systems are being asked to take on more risk for greater rewards. Value-based...
Four Ways to Better Enable Providers to Adopt Value-Based Contracts
For an updated look at provider enablement strategies, read our more recent blog.
Value-based contracts are the future in...
Considering the Move from MSSP to Medicare Advantage
Over the past several years, the Medicare Advantage program and the Medicare Shared Savings Program (MSSP) have both grown...
Addressing Data Integrity in Value-Based Care Arrangements—For Payers
This is the final part of a three-part blog series exploring from both a provider and payer perspective the topic of data...
Embracing Value-Based Contracts - Five Keys to Success for Health Plans
Value-based contracting is a complicated process. Payers need tools that enable their contracting teams to standardize every...
Value-Based Contract Modeling Automation for Providers
The process of modeling value-based contracts can be painstaking. Acquiring the insights needed to arrange contracts that...
Addressing Data Integrity in Value-Based Care Arrangements—For Providers
This is part two of a three-part blog series exploring from both a provider and payer perspective a topic that impacts the...
Four Best Practices for Payers to Consider When Contracting for Value-Based Care
Successful value-based care (VBC) contracts are driven by actionable data that informs both the payer and the provider....
Challenges in Data Integrity in Value-Based Care Arrangements
This is part one of a three-part blog series exploring from both a provider and payer perspective a topic that impacts the...
Value-Based Care Predictions for 2022
As we leave a tough 2021 in the rear-view mirror, 2022 brings with it some optimism as recent data suggests that vaccinated...
The Importance of Specialist Referral Efficiency in Value-Based Care
As risk-bearing entities (Health Plans, ACOs, IPAs, etc.) continue to advance in value-based care (VBC), one area they can’t...
Understanding Big Data in Healthcare: The Three V's
With the rise of risk-bearing arrangements and value-based care, “big data” is becoming more prominent in the sphere of...
Navigating the Key Components of Value-Based Contracting
During the value-based contracting process, health plan executives should be prepared to do all of the following: evaluate...