Regional Health Plan operated several shared savings and shared risk value-based contracts (VBCs) with  provider groups across its book of business. The provider community consistently demonstrated positive outcomes under these arrangements—achieving shared savings and maintaining lower per-member per-month (PMPM) costs compared to the broader population and expected budget benchmarks.

Health plans are facing rising costs, shifting benchmarks, and tighter margins, yet many still rely on upside-only contracts that mask financial risk. This limited visibility delays action and can quietly erode margins before issues are detected. SpectraMedix helps plans proactively model, monitor, and manage value-based contracts—providing real-time insights that protect margins and enable confident performance under shared-risk arrangements.

Feeling like your Medicaid SDP strategy has been uprooted? In this article written by SpectraMedix Chief of Staff Rahul Lakhanpal, he breaks down what’s happening and what you can do to prepare.