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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant

Atlas Oncology Raises $28M to Take “Full Risk” on Patient Costs

by Fred Pennic 02/13/2026 Leave a Comment

Atlas Oncology Raises $28M to Take "Full Risk" on Patient Costs

What You Should Know The Raise: Atlas Oncology Partners has closed a $28M Series A financing round led by Flare Capital Partners, with significant backing from Rubicon Founders.The Model: Atlas isn't just a software vendor; it is a value-based care platform that assumes full medical cost risk. This means they are financially responsible for the total cost of a patient's cancer journey, aligning their incentives with payers and patients.The Strategy: The company embeds interdisciplinary care
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The Interoperability Bridge: How HIEs Secure CMS 2026 Compliance for Payers

by Patrick Gordon, CEO of Rocky Mountain Health Plans 02/05/2026 Leave a Comment

The Interoperability Bridge: How HIEs Secure CMS 2026 Compliance for Payers

As healthcare costs continue to increase and patients demand more from their insurance coverage, there’s rising pressure to provide higher-quality care more efficiently than ever before. The expectations for healthcare payers to achieve the Triple Aim objectives—that is, better patient experiences and improved population health at lower costs—demand that we all become more resourceful in our approach to care. It's clear that health plans and hospital systems can’t achieve these ambitious
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The ‘Volume’ Era is Dead: Humana Data Proves Value-Based Care Cuts Admissions by 24%

by Fred Pennic 02/05/2026 Leave a Comment

The "Volume" Era is Dead: Humana Data Shows Value-Based Care Cuts Hospital Admissions by 24%

What You Should Know The Report: Humana’s newly released Value-Based Care By the Numbers Report, reveals that Medicare Advantage members in value-based care (VBC) arrangements are seeing significantly better outcomes than those in traditional models.The Data: The impact is measurable and massive: VBC patients experienced 24.3% fewer hospital admissions and 13.4% fewer emergency room visits in 2024.The Shift: The report validates the industry's transition from "reactive" fee-for-service
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Why Value-Based Care Will Fail Without a Dynamic Tech Stack

by Ron Margalit, Chief Information Officer at Evergreen Nephrology 01/22/2026 Leave a Comment

Why Value-Based Care Will Fail Without a Dynamic Tech Stack

Value-based care (VBC) is a fundamental shift from volume-based, fee-for-service models to outcome-driven healthcare delivery. It characteristically requires providers to be far more dynamic about patient care, assessing risk and working collaboratively with other providers for individual patient-centered goals. However, at its full extent, this ask of providers is likely beyond what the average health organization technology stack can facilitate. VBC providers must manage risk, improve
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From Fragmentation to Clarity: How Ambient AI Powers Value-Based Care

by Shay Perera, co-founder and Chief Technology Officer of Navina 01/20/2026 Leave a Comment

From Fragmentation to Clarity: How Ambient AI Powers Value-Based Care

As healthcare organizations deepen their investments in value-based care, one obstacle continues to stymie progress: incomplete visibility into the patient’s health status. The problem isn’t limited to a single source, such as claims data, though claims are often blamed. Rather, it’s the fragmented nature of healthcare data itself. Patient information is dispersed across a patchwork of systems—EHRs, HIEs, scanned documents, specialist consults, diagnostic reports, lab results, payer files, and
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Surviving the One Big Beautiful Bill Act: Technology Strategies for Safety-Net Providers Facing Medicaid Cuts

by Jeff Brandes, President and CEO of Azara Healthcare 12/29/2025 Leave a Comment

Surviving the One Big Beautiful Bill Act: Technology Strategies for Safety-Net Providers Facing Medicaid Cuts

Financial challenges are not new to healthcare. A perfect storm of converging trends has left many organizations operating within razor-thin margins in recent years.  For safety-net providers, the latest financial uncertainties introduced by the One Big Beautiful Bill Act present yet another hurdle. Many financial executives may fear making the wrong move and choose to “freeze” in response to Medicaid funding cuts that will equate to nearly $800 million.  Yet inaction is likely
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The VBC Paradox: Why Hospitals Are Doubling Down on Value-Based Care While Revenue at Risk Lags

by Fred Pennic 12/12/2025 Leave a Comment

The VBC Paradox: Why Hospitals Are Doubling Down on Value-Based Care While Revenue at Risk Lags

What You Should Know:  - A new report from Sage Growth Partners reveals a striking disconnect in the healthcare industry: while only 20% of C-suite leaders believe progress has been made in value-based care (VBC) recently, 77% plan to increase their participation in these models over the next two years.  - The "plot twist" indicates that despite operational hurdles and low revenue exposure today, hospital executives view VBC as essential for long-term financial survival. The data
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More Safe Days at Home: A Call to Redesign Pediatric Care

by Dr. Patricia Hayes, Chief Medical Officer of Imagine Pediatrics 12/10/2025 Leave a Comment

For children with special health care needs, the line between stability and crisis is razor-thin. A quiet day at home can quickly spiral into an unplanned hospital admission. Even during moments of calm, families live with constant anxiety that a small change in condition could trigger the next emergency. It shouldn’t be that way. Time at home should be safe and supported, not a fragile pause between hospitalizations. Yet today’s healthcare system still defaults to crisis response,
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ECP Secures Growth Investment in Assisted Living Platform to Fuel AI and Value-Based Care

by Fred Pennic 12/08/2025 Leave a Comment

ECP Secures Growth Investment in Assisted Living Platform to Fuel AI and Value-Based Care

What You Should Know:  - ECP, a software platform for assisted living, has secured a massive growth investment led by Level Equity, marking the largest funding round in the history of the sector.  - The capital will accelerate ECP’s product development with a focus on artificial intelligence, value-based care, and usability, supporting over 8,000 communities nationwide. This move signals a major industry shift away from legacy tools toward purpose-built, data-driven platforms
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Lightbeam Acquires Syntax Health to Unify VBC Contracting and Population Health Platforms

by Fred Pennic 12/04/2025 Leave a Comment

Lightbeam Acquires Syntax Health to Unify VBC Contracting and Population Health Platforms

What You Should Know:  - Lightbeam Health Solutions, a leader in AI-enabled Population Health Management, has acquired Syntax Health, an enterprise SaaS platform specializing in value-based care (VBC) contract modeling. Financial details of the acquisition were not disclosed.  - The strategic acquisition unifies the traditionally separate functions of predictive analytics and collaborative contract design into a single VBC operating system.  - The combined platform aims
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