Value Based Care

New York – November 06, 2026 -- Navina, an AI-powered clinical intelligence platform, has appointed Dr. Joshua Newman as Chief Medical Officer as its platform reaches more than 20,000 clinicians and care team members at over 1,300 U.S. clinics, supporting the care of more than five million patient lives.

Newman brings nearly 14 years of Salesforce healthcare leadership

Newman spent almost 14 years at Salesforce, where he served as SVP and Chief Medical Officer and as SVP and Global GM of Healthcare and Life Sciences. In that role he built the company's healthcare business and its relationships with health systems and payers.

Most recently, he was Chief Strategy Officer at Alleviate.care, a physician-led hospice and palliative care organization. He began his career in clinical practice and served as an assistant professor of medicine at UCLA.

Nashville – November 05, 2026 -- Thyme Care is scaling its Serious Illness program after finding that one in three of its oncology members live with serious illness. For one national health plan partner, members connected to palliative care had 18% lower total spend in their final 30 days of life.

Inpatient savings account for 82% of the cost reduction at one national health plan partner

Inpatient spending drove 82% of the 18% reduction in end-of-life costs. Thyme Care attributes the savings to more appropriate care rather than less care.

Brookfield, Conn. – November 03, 2026 -- Medicare's CJR-X model will place 2,217 hospitals under mandatory two-sided financial risk on January 1, 2028. CMS's final rule projects those hospitals will repay $1.855 billion over five years while receiving $1.463 billion.

The model makes hospitals responsible for the full cost of hip, knee and ankle replacements through 90 days after discharge. Hospitals that beat a regional target price earn a bonus, while those that miss it pay Medicare back.

CMS projects a net $392 million transfer from hospitals to Medicare

The repayment gap leaves a net $392 million flowing to Medicare. More than half of the projected $736 million in savings comes from pricing alone.

Predecessor CJR left 60% of participating hospitals owing money in 2023

The earlier CJR program shows the direction of travel:

St. Louis – November 03, 2026 -- The American College of Lifestyle Medicine (ACLM) and eClinicalWorks are embedding six lifestyle medicine tools in eClinicalWorks EHR 12.0.4, moving assessment, documentation, patient education and outcomes tracking into clinicians' existing workflows.

Six tools cover assessment through outcomes reporting

The Lifestyle Medicine Whole Person Health Assessment evaluates patients across nutrition, physical activity, restorative sleep, stress management, connectedness and avoidance of risky substances. A progress note template lets clinicians document prescribed interventions and patient goals, including food-as-medicine measures such as produce prescriptions and medically tailored groceries and meals.

United States – October 17, 2026 -- Andor Health and Psynergy Health have launched the ACCESS Clinic, an approved CMS ACCESS Model clinic that runs on the ThinkAndor® AI-native clinical services operating system and targets Medicare beneficiaries with chronic conditions. The platform behind it already operates across more than 40 health systems and supports over 20 million patients in nearly every U.S. state.

Platform results span 35 million AI interactions

ThinkAndor® AI agents have completed more than 35 million clinical and patient interactions. According to the companies, health systems using the platform have achieved:

Glendale, Calif. – October 16, 2026 -- Reveleer has appointed Jean-Luc ("JL") Neptune, MD, MBA, as Chief Medical Officer to lead clinical strategy across risk adjustment, quality, and member management programs serving 12 million covered lives.

Neptune will set clinical direction for Reveleer products and shape the company's approach to AI, value-based care, and health care payment reform. He brings more than 20 years of experience putting new technology in front of clinicians at the point of care, first as a physician and later as a digital health founder.

Reveleer cites a gap between AI adoption and operational readiness

Citing its own 2026 State of Technology in Value-Based Care report, Reveleer says AI adoption has outpaced operational readiness. Health plans, it argues, need AI that scales quickly and remains transparent enough to trust.

San Francisco – September 19, 2026 -- Nuna Health LLC is now offering its AI-driven digital health coach at no cost to eligible Original Medicare (Parts A and B) beneficiaries in markets where the company operates, positioning itself among the first participants in the CMS Innovation Center's ACCESS (Advancing Chronic Care with Effective, Scalable Solutions) Model.

CMS payment model ties reimbursement to patient outcomes, not services rendered

The ACCESS Model is a payment test that rewards participating organizations based on health outcomes achieved rather than volume of care delivered. Enrollment is voluntary and subject to CMS eligibility criteria. Nuna is supporting beneficiaries enrolled in the Model's Early Cardio-Kidney-Metabolic (eCKM) and Cardio-Kidney-Metabolic (CKM) tracks, covering high blood pressure, high cholesterol, prediabetes, type 2 diabetes, chronic kidney disease, and atherosclerotic cardiovascular disease.

Dallas – September 18, 2026 -- Lightbeam Health Solutions has appointed Thomas P. McCarrick, MD, MBI, as Chief Medical Officer, effective August 31, 2026, bringing more than four decades of clinical and healthcare leadership experience to the AI-enabled population health company.

Physician executive joins with dual informatics and value-based care credentials

Dr. McCarrick is board certified in family medicine, geriatric medicine, and clinical informatics. His background spans primary care, population health, care coordination, and value-based healthcare delivery, according to the company.