Accountable Care

The kidney care provider's build-not-buy effort has shown great results: 30-day readmissions are down 36%, hospitalizations among high-risk patients are down 49% and optimal starts are up 67%.

Innovaccer, Veradigm and other companies are integrating real-time healthcare data, analytics and artificial intelligence-enhanced workflows into payer and provider systems to improve patient outcomes and care delivery.

Another tip for HIMSS25 attendees from Dr. Hamad Husainy, CMO at PointClickCare: Look to technology to help with the inevitable growth of value-based care – streamlining transfers from hospital to post-acute care is one strategy.

Robert Connely of Pega says patching legacy systems will give way to true health IT modernization, a security breakthrough will lead artificial intelligence into routine use – and AI will make value-based care the industry standard.

"Health IT has always been a nonpartisan area for policymakers, so I expect that will largely remain the case," says longtime policy expert Leigh Burchell.

While medication adherence is a cornerstone of value-based care, it depends on the right team, tools and targeted patient engagement to be effective, says one chief medical officer.

A statistical analysis evaluated a refit of the Dementia AlgoRithm, which helps determine patients at risk for cognitive decline, using administrative claims data. It found the new models could be a game-changer for value-based care providers.