Policy Analysis
How ACO REACH Is Reshaping Medicare
The ACO REACH model represents the most ambitious attempt yet to move Medicare toward global capitation. Here's what the early data tells us.
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Value-Based Care Advocacy
The U.S. healthcare system is broken. Value-based care is how we fix it.
Insights, analysis, and advocacy from 35 years inside the system.
Fee-for-service medicine is a business model masquerading as a healthcare system.
The United States spends nearly twice what peer nations spend on healthcare — and ranks last among them on outcomes. The problem isn't the people working in the system. It's the system itself: one that rewards volume over value, procedures over prevention, and complexity over care.
About HealthcareFixOur Framework
The Three Pillars of Value-Based Care
Value-Based Care
Paying for outcomes, not procedures. Understanding what works, what doesn't, and why the transition is harder than it should be.
Policy & Reform
From CMS innovation models to state-level Medicaid waivers, tracking the policy levers that actually move the needle.
The Patient Perspective
Every data point is a person. Keeping the human cost of a broken system at the center of every conversation.
45%
of U.S. health care payments flowed through value-based contracts in 2024
HCP-LAN / AHIP 2025 APM Measurement (44.9%, Categories 3–4)
1 in 4
U.S. health care dollars is estimated to be waste, $760–$935 billion a year
Shrank et al., JAMA, 2019 (doi 10.1001/jama.2019.13978)
$2.5B
saved for Medicare in 2024 by 476 ACOs caring for 10.3 million people
CMS, Shared Savings Program PY2024 results
Latest
Insights & Research
Value-Based Care
Why Primary Care Is the Linchpin
Every high-performing health system in the world is built on a strong primary care foundation. The U.S. is finally starting to take that seriously.
Read MorePatient Outcomes
The Readmission Problem Nobody Wants to Talk About
Hospital readmissions cost Medicare $26 billion a year. Most are preventable. So why are we still having the same conversation we were having in 2010?
Read MoreStay Informed. Stay Engaged.
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