Patient outreach is the bottleneck in value-based care. Most practices cannot quantify what it costs them. This chapter breaks down the math of outreach labor, contact rates by channel, TCPA compliance for healthcare calls, and a technology model that shifts staff time from dialing to clinical work.
How care gaps are identified, reconciled, and closed. Which HEDIS measures matter most for primary care. The 2026 Star Ratings, 2027 proposed rule, and the revenue model for systematic gap closure.
CCM is an operations problem disguised as a clinical one. The codes reimburse up to $132/month per patient. 96% of eligible Medicare beneficiaries still don't receive it. Here's the operational model that changes that.
Six active CMS value-based care models — timelines, deadlines, and required actions for 2026–2028. Filter by your role and state.
APCM removes time-tracking requirements while expanding care management to all Medicare beneficiaries. Learn the tier structure, revenue model, and implementation workflow for this transformative 2025 billing code.
CMS proposed a 0.09% MA payment increase for 2027, but the real story sits underneath that number. Explore the V28 risk model updates, chart review policy changes, and Star Ratings reforms that will reshape MA contracts.
The AWV generates a written blueprint for the next decade of a patient's health. Explore how practices can systematically execute prevention plans with measurable outcomes at every stage.
What breaks when nothing happens after the note is signed.
Understanding the Long-term Enhanced ACO Design Model and how it transforms value-based care with a decade-long commitment, no benchmark rebasing, and new mechanisms for specialty care management.
A breakdown of the 24 measures in CMS's December 2025 Measures Under Consideration list, with practical guidance on what to optimize for primary care, hospitals, and value-based care organizations.
Comparing business models for FFS companies vs VBC companies
Understanding the ACCESS Model—CMS's 10-year national test introducing Outcome Aligned Payments for chronic care management in Original Medicare.
Understanding Medicare Shared Savings, ACO REACH, Medicare Advantage, and commercial VBC—the mechanisms, the money flows, and why each model exists.
The $4.5 trillion healthcare industry is restructuring itself from paying for procedures to paying for outcomes, and understanding this shift from fee-for-service to value-based care will determine whether your healthcare technology becomes essential infrastructure or gets left behind.
Care gaps represent a $100B+ opportunity in value-based care. Explore interactive visualizations showing how closing gaps improves outcomes, reduces costs, and drives Star Ratings.
A complete guide to APCM billing codes G0556, G0557, and G0558 — including tier structure, eligibility requirements, and implementation workflow for primary care practices.
Introducing Pear's AI Voice Agent platform for streamlined healthcare communication and practice management