Care Coordination
Expert articles and analysis related to care coordination.
AI Summary — Last 30 Days
Care coordination is increasingly shifting from primary-care-only VBC into specialty-led, risk-aligned models, with Blue Cross NC’s Advanced Kidney Care program and Oshi Health’s GI model showing how payers are using outcomes-based partnerships to manage CKD/ESRD, complex GI disease, avoidable utilization, and total cost of care beyond the ACO chassis. At the same time, the Independence at Home experience points to a scaling constraint for high-touch home-based models: they can improve outcomes for complex patients, but workforce, attribution, and operational intensity limit how easily they become broad Medicare strategy. For VBC leaders, the strategic tension is clear: specialty and home-based care coordination are becoming core to risk performance, but success depends on governance, data exchange, and payment designs that align clinicians, payers, and care teams around longitudinal accountability rather than episodic intervention (Blue Cross NC kidney case study; Independence at Home scaling challenge
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