Healthmonix Advisor

The Future of Value-Based Care

A new ten-year experiment called ACCESS is about to test exactly that question — and it could reshape how chronic illness is cared for in America.

Topics: VBC, Value-Based Care, Conference, APG, healthcare, ACCESS

For most of 2024 and 2025, the dominant frame for AI in healthcare was the copilot: AI suggested, a clinician acted. The framing was reassuring. It kept a human in every loop and let institutions defer the hard question of governance, because the AI never did anything a human hadn't already approved.

That framing is breaking down. At the APG Spring Meeting in San Diego this May, 4 organizations — an FQHC, a national VBC enablement company, a Southern California physician group, and UC San Diego Health — described deployments that have moved past copiloting into something more autonomous.

Topics: VBC, Value-Based Care, Conference, AI, APG, healthcare

For roughly a decade, the operating assumption of value-based care has been that you transform outcomes and costs by transforming primary care:

• Attribute the patient to a PCP
• Hand the PCP a panel and a risk arrangement
• Give the care team a gap list
• Let the rest of the system carry on 

That model has produced real wins. It’s also produced a generation of risk-bearing organizations that have squeezed most of what they can out of the levers a primary care physician controls and now find themselves staring at the part of the spend they don’t.

Topics: CMS, VBC, Value-Based Care, Conference, APG