Value-Based Care Insights

As CMS continues to refine its approach to value-based care, healthcare organizations face critical decisions about how to participate in accountable care models. With ACO REACH coming to an end and new opportunities emerging through LEAD and the evolving Medicare Shared Savings Program (MSSP), 2027 marks an important inflection point for providers.In this episode of Value-Based Care Insights, Daniel Marino sits down with Emily Brower, President and CEO of the National Association of ACOs (NAACOS), to explore what these changes mean for healthcare organizations and the future of accountable care. Emily shares insights into the key differences between LEAD and MSSP, the importance of understanding an organization’s population and network strengths, and how longer-term models can support investments in care management, clinical transformation, and population health.Register for the conference: NAACOS Fall Conference RegistrationUse this promo code: VBCInsightsIf you are not an ACO but are interesting in attending the conference go to NAACOS.com or email  [email protected]

Healthcare organizations are under increasing pressure to improve access while balancing patient expectations, provider capacity, and operational complexity. In this episode of Value-Based Care Insights, Daniel Marino is joined by healthcare access leaders Jon Fullerton and Jenny Hart to discuss what it takes to create a more coordinated and sustainable access strategy.The discussion highlights real-world barriers that often prevent organizations from achieving meaningful improvement, including fragmented workflows, underused tools, inconsistent processes, and limited alignment across clinical and administrative teams.Healthcare leaders will gain a practical perspective on how providers can evaluate current access challenges, engage stakeholders, and begin moving toward a more connected model that supports both care delivery and the patient experience.

As healthcare organizations advance value-based care strategies, clinically integrated networks remain a key vehicle for aligning physicians, improving performance, and building the infrastructure needed to succeed under new payment models. But sustaining a high-performing CIN requires more than contracting activity; it takes clear governance, physician engagement, and a shared commitment to measurable outcomes.In this episode of Value-Based Care Insights, Daniel Marino discusses the stages of CIN maturity, from launching the network to optimizing operations and scaling for growth. He explores how organizations can define a strong value proposition, strengthen care management and utilization management capabilities, improve network integrity, and position the CIN for long-term high performance.Whether your organization is developing a CIN, improving an existing network, or expanding value-based opportunities, this episode offers practical insights for building the alignment, infrastructure, and capabilities needed to drive sustainable success.

While value-based care has gained significant traction in adult medicine, pediatric care has often been left out of the conversation. Yet investing in children's health may be one of the most effective ways to improve long-term outcomes, strengthen communities, and reduce the total cost of care.In this episode of Value-Based Care Insights, Daniel Marino welcomes Dr. Suzanne Brixey, Executive Director of Fortify Children's Health, to discuss how Virginia's statewide pediatric clinically integrated network is advancing a new approach to value-based care. Dr. Brixey explains why pediatric payment models and quality measures must differ from those designed for adults, how early intervention and preventive care can improve lifelong health outcomes, and why addressing behavioral health, social drivers of health, and family well-being is critical to supporting healthier children. She also shares how her organization is leveraging data, care management, and innovative partnerships to help pediatric practices succeed in value-based arrangements while delivering meaningful results for patients, families, and payers.Learn more about Fortify Children's Health at FortifyChildrens.org

The conversations at this year's HFMA Annual Conference made one thing clear: value-based care is no longer just about reimbursement; it's becoming the foundation for how healthcare organizations operate.In this episode of Value-Based Care Insights, Daniel Marino is joined by Katie Gilfillan, Director of Healthcare Finance Policy at HFMA, to discuss four themes from the conference: the transition from value-based contracting to enterprise-wide performance management, capital allocation toward scalable care delivery and digital infrastructure, the practical use of AI to improve access and operational efficiency, and affordability as a key indicator of value-based care success, reflecting the need to improve outcomes while reducing unnecessary cost.Whether you're a healthcare executive, finance leader, physician leader, or payer, this conversation offers practical insights into where the industry is headed and how organizations can prepare for the next phase of value-based care.