Population Health Management

Population health management activity this week centered on operationalizing value-based care in rural and specialty settings: Newman Regional Health is preparing infrastructure for a shift toward VBC, AMGA is advising organizations on ACO readiness, and Hopscotch Primary Care’s $53M raise signals continued investor appetite for rural primary-care models built around longitudinal risk management. At the same time, measurement and data strategy are becoming more AI-enabled, with NCQA partnering with Komodo Health to develop future HEDIS measures using real-world data and AI—an important signal for ACOs, MA plans, and Medicaid managed care organizations that quality measurement may move closer to population-level analytics and earlier intervention. Policy tension remains high under the Trump administration’s CMS, as hospital groups push back on proposed 340B and site-neutral payment changes that could affect safety-net financing and provider participation in VBC models, even as rural-access investments such as Georgia’s $93.3M initiative reinforce the administration’s stated focus on care access outside urban markets. [NCQA-Komodo HEDIS measures](https://news.google.com/rss/articles/CBMipgFBVV95cUxOODdJQWUwUlNEcG1JTzdIREVnRnNjaElZcXRiRUpfOEJLazVhcHUzWGFyalhyQVQyMmI2X2xxdURoaTVBWUtPMklXbmh6UTZoM2o4V0Fp