SpectraMedix Expands Provider Enablement Capabilities to Support Multi-Payer Value-Based Programs 

Helping health plans reduce complexity, align incentives, and accelerate provider participation across Medicaid, Medicare, and Commercial contracts.

East Windsor, NJ — November 12, 2025 —SpectraMedix, a leader in standard AI value-based care analytics and contract performance modeling, today announced the expansion of its provider enablement capabilities to support multi-payer alignment, giving health plans a unified way to manage and optimize value-based performance across all lines of business and for providers to have a unified experience across the different health plans they support.

As utilization and pharmacy costs continue to rise, health plans are under increasing pressure to deliver predictable margins and sustainable results in value-based care. The new multi-payer capabilities enable plans to standardize incentives, streamline provider engagement, and pinpoint risk earlier, while giving provider networks a consistent performance view that reduces administrative burden and improves participation.

The timing of this expansion comes as government-focused health plans and managed care organizations pursue deeper cross-payer alignment to ease provider burden and improve provider enablement. With CMS advancing its 2030 goal for universal participation in value-based care, multi-payer collaboration has become essential to operational success. By enabling plans to manage diverse contracts through a single, unified framework, SpectraMedix helps accelerate that transformation — bridging data, incentives, and performance across programs.

Amid this push for cross-payer alignment, Medicaid value-based programs differ widely across states, and SpectraMedix is proud to work with health plans and providers in nearly half the nation. Our AI-powered JOC and RBAC analytics help organizations navigate these variations while strengthening provider alignment and value-based performance.“Value-based care success depends on consistent, trusted collaboration between payers and providers,” said Dr. Raj Lakhanpal, CEO at SpectraMedix. “By extending our enablement tools with multi-payer support, we’re helping plans simplify operations, improve how they share information with providers, and deliver greater value back to both the plan and the providers serving their members in value-based arrangements.”

The expanded Provider Enablement offering officially rolled out on November 1, 2025, and will enable health plans to:

  • Deliver their health plan’s insights to providers already using the SpectraMedix platform to reduce friction and increase provider-payer collaboration
  • Meeting providers where they are by use of the SpectraMedix multi-modal provider enablement suite delivering unique offerings across the health care spectrum from large integrated health systems to small independent providers.
  • Inform providers more frequently and transparently about how they are performing financially in value-based contracts and where they can earn additional incentives
  • Align quality and cost measures to simplify provider participation and strengthen network performance and protect margins.
  • Leverage unified reporting and data exchange to meet state and federal interoperability goals.
  • Operationalize provider partnerships that scale across Medicaid, Medicare Advantage, D-SNP, and Commercial markets.

With these enhancements, SpectraMedix helps health plans transform complex, payer-specific value-based programs into cohesive, scalable frameworks that drive consistent performance, transparency, and ROI.

About SpectraMedix

SpectraMedix delivers advanced analytics and standard AI-driven modeling solutions that empower health plans to design, negotiate, and optimize value-based contracts and operations with confidence. From predictive modeling to provider enablement, SpectraMedix bridges the gap between clinical intelligence, financial accountability, and network performance.