Mastering Value-Based Care: High-Impact Strategies for Healthcare Leaders
You're under pressure. Budgets are tightening, outcomes are being scrutinized, and stakeholders demand measurable impact. The shift from volume to value isn’t coming-it’s already here. And if you're not leading with a clear, data-driven strategy, you’re falling behind. Every delay costs you credibility, funding, and influence. But what if you could confidently design, articulate, and deploy value-based care initiatives that get board approval, win clinical buy-in, and deliver real ROI? Not just in theory-but in practice? Mastering Value-Based Care: High-Impact Strategies for Healthcare Leaders is the proven roadmap for executives, directors, and senior managers who need to lead transformation-not just survive it. This is not abstract policy discussion. It’s a battle-tested system built for clinicians, administrators, and strategists operating in real health systems with real constraints. One past participant, Dr. Lena Cho, Chief Population Health Officer at a 7-hospital network, used the course framework to design a value-based diabetes program. Within 60 days, she presented a board-ready proposal, secured $1.2 million in funding, and reduced 30-day readmissions by 24% in the first cohort. The gap between uncertainty and recognition isn’t knowledge-it’s execution. This course gives you the tools, templates, and decision frameworks to close that gap fast. You’ll go from concept to a fully scoped, stakeholder-aligned, metrics-validated initiative-in as little as 30 days. Here’s how this course is structured to help you get there.Course Format & Delivery Details Learn On Your Time, Apply Immediately
This course is 100% self-paced, with on-demand access and no fixed schedules. Designed for senior healthcare leaders, it respects your time and fits into your real-world workflow. Most learners complete the core content within 4–6 weeks, with many applying key tools to active projects within the first 7 days. Immediate, Lifetime Access – No Expiry, Ever
Enroll once and gain lifetime access to all materials. You’ll keep your access forever, including every future update at no additional cost. The healthcare landscape evolves-your training should too. - Available 24/7 from any device
- Fully mobile-optimized for learning on the go
- Synchronize progress across devices
- Includes progress tracking and milestone reminders
Executive-Level Support & Accountability
You’re not alone. Every enrollee receives structured guidance through a dedicated support portal. You’ll have access to expert-reviewed feedback channels, implementation checklists, and direct Q&A with experienced healthcare consultants trained in value-based transformation. Certificate of Completion from The Art of Service
Upon finishing, you’ll earn a globally recognised Certificate of Completion issued by The Art of Service-a leader in professional development for healthcare, government, and enterprise leaders. This certificate validates your mastery of value-based care strategy and strengthens your credibility with boards, peers, and accreditation bodies. Pricing That’s Transparent and Risk-Free
No hidden fees. No recurring charges. One straightforward price covers everything: curriculum, tools, updates, and certification. Payment is secure via Visa, Mastercard, and PayPal. Our Ironclad Guarantee: Satisfied or Refunded
We eliminate all risk with a full money-back guarantee. If you complete the first two modules and feel this course hasn’t delivered actionable value, simply request a refund. No questions asked. “Will This Work for Me?” – The Real Answer
This program was built for complexity. Whether you lead a regional ACO, oversee quality at an academic medical center, or drive strategy in a community health system, the frameworks are designed to scale and adapt. This works even if: - You're new to value-based contracting but need to lead fast
- Your team resists change due to past failed initiatives
- You lack dedicated analytics or data infrastructure
- You're stretched too thin to take on another “training”
- You’ve seen dozens of models-but nothing that sticks in practice
Real leaders in real systems are already using this. From Chief Medical Officers to Director of Care Transformation, learners have applied this curriculum to launch bundled payments, redesign chronic care pathways, and negotiate risk-based contracts with payers. After enrollment, you'll receive an email confirmation. Your access details and login instructions will be sent separately once your learner profile is activated-ensuring a seamless onboarding experience.
Module 1: Foundations of Value-Based Care - Defining value in healthcare: quality, cost, and patient experience
- How value-based care differs from fee-for-service and pay-for-performance
- The evolution of value-based models: from pilot to policy
- Core principles of sustainable value-based transformation
- Understanding population health as the foundation of value
- The Triple Aim framework and its modern adaptations
- Key regulatory drivers: CMS, MACRA, MIPS, and APMs
- Identifying high-cost, high-utilization patient cohorts
- The role of equity in value-based design
- Barriers to adoption: cultural, structural, and financial
Module 2: Strategic Frameworks for High-Impact Leadership - Developing a value-driven mission and vision statement
- Aligning executive leadership around shared outcomes
- The Value Creation Canvas: a tool for strategic alignment
- Stakeholder mapping: who wins, who resists, who enables?
- Building the business case for value-based initiatives
- Creating urgency without inciting resistance
- Defining your organisation’s value-based maturity stage
- Setting aspirational yet achievable 12-month goals
- Leadership communication: framing change for clinicians and staff
- Navigating board expectations and financial thresholds
Module 3: Financial Models & Risk Contracting - Comparing shared savings, shared risk, and full capitation
- Understanding downside risk and financial safeguards
- Predictive modeling for budget neutrality and risk adjustment
- Calculating total cost of care (TCOC) accurately
- Bundled payments: design, negotiation, and execution
- Episode-based costing and attribution logic
- Reconciliation processes and payment lags
- Negotiating with payers: tactics for securing favourable terms
- Internal cost alignment: bringing finance and operations together
- Cash flow planning under value-based contracts
- Establishing reserves and contingency funding models
- Comparative analysis of ACOs, MSSPs, and Direct Contracting Entities
Module 4: Outcome Measurement & Performance Tracking - Selecting high-leverage clinical and operational metrics
- Choosing between HEDIS, CG-CAHPS, and custom measures
- Designing dashboards for executive and frontline use
- Real-time vs. lagging indicators: when to act
- Benchmarks: internal, regional, and national comparisons
- Avoiding metric overload and data paralysis
- Developing patient-reported outcome measures (PROMs)
- Data granularity: balancing actionable insights with privacy
- Attribution methodologies: claims-based, registry-based, hybrid
- Ensuring data integrity across care settings
- Linking outcomes to incentives and accountability
- Public reporting requirements and reputational impact
Module 5: Care Redesign & Clinical Integration - Redesigning care pathways for chronic conditions
- Embedding preventive care into episodic treatment
- Team-based care models: roles, workflows, and accountability
- Standardising evidence-based protocols across providers
- Transition management: reducing avoidable hospitalisations
- Addressing social determinants within clinical workflows
- Integrating behavioural health into primary care
- Virtual care as a value multiplier
- Pharmacy utilisation and formulary alignment
- Reducing low-value services and overuse
- Optimising specialist referrals and coordination
- Designing patient engagement strategies that stick
Module 6: Data Infrastructure & Technology Enablement - Assessing your organisation’s data readiness
- Essential data sources: EHR, claims, registries, patient feedback
- Data governance: ownership, access, and quality standards
- Interoperability requirements and FHIR standards
- Choosing between homegrown and vendor analytics platforms
- Real-time data feeds vs. batch reporting
- Building predictive risk stratification models
- Automating alerts and care team notifications
- Patient matching and longitudinal record creation
- Scalable data architecture for multi-entity systems
- Cloud-based analytics and secure data storage
- Integrating patient-generated data into the record
Module 7: Change Management & Organisational Adoption - Leading through resistance: psychology of clinical change
- Identifying and mobilising change champions
- Physician engagement: aligning incentives and values
- Staff training: role-specific learning paths
- Creating feedback loops for continuous improvement
- Managing competing priorities during transformation
- Linking performance to recognition and development
- Addressing burnout and workload concerns proactively
- Communicating wins and near-wins across the system
- Designing governance structures for sustained momentum
- Establishing a value-based steering committee
- Escalation pathways for unresolved operational barriers
Module 8: Patient-Centred Design & Equity Focus - Applying human-centred design to care models
- Mapping the patient journey for pain points and gaps
- Involving patients in co-designing services
- Measuring patient experience beyond CAHPS
- Reducing disparities in access, treatment, and outcomes
- Culturally competent care pathways
- Language access and health literacy integration
- Transportation, food, and housing support integration
- Trusting relationships as a clinical outcome
- Designing inclusive data collection methods
- Monitoring equity metrics in real time
- Reporting equity outcomes to boards and communities
Module 9: Measurement-Based Improvement & Rapid Learning - Plan-Do-Study-Act (PDSA) cycles in value-based settings
- Running small tests of change across clinics
- Using run charts and control limits for performance insight
- Statistical process control for healthcare leaders
- Fast-cycle feedback: learning in weeks, not years
- Differentiating signal from noise in performance data
- Conducting root cause analysis for outlier performance
- Building a rapid learning health system culture
- Sharing best practices across care teams
- Documentation standards for audit readiness
- Linking improvement work to professional development
- Incentivising learning and experimentation
Module 10: Scaling & Sustaining Value-Based Models - From pilot to system-wide rollout: scaling frameworks
- Resource allocation for expansion phases
- Replicating success across service lines
- Managing complexity as programs grow
- Developing internal coaching and training capacity
- Standardising playbooks for consistency
- Monitoring fidelity during scaling
- Adjusting governance as programs mature
- Integrating value-based care into annual planning cycles
- Embedding value into capital investment decisions
- Succession planning for leadership continuity
- Preparing for external validation and accreditation
Module 11: Payer & Partner Collaboration - Building trust with commercial and Medicare Advantage plans
- Joint performance reporting agreements
- Resolving data discrepancies with payers
- Co-investing in care management services
- Developing aligned incentive structures
- Navigating anti-kickback and Stark law considerations
- Creating transparency in pricing and outcomes
- Partnering with community-based organisations
- Integrating home health and post-acute providers
- Building regional coalitions for population health
- Developing shared data use agreements
- Negotiating gainsharing and shared savings distribution
Module 12: Advanced Risk Adjustment & Financial Protection - Understanding HCC (Hierarchical Condition Category) coding
- Clinical documentation improvement (CDI) for risk accuracy
- Provider education on documentation for value
- Validating risk scores against clinical reality
- Detecting and preventing upcoding risks
- Using prospective vs. retrospective risk models
- Managing outlier cases and catastrophic risk
- Purchase of reinsurance or stop-loss coverage
- Internal risk pooling across providers
- Stress testing financial models under adverse scenarios
- Actuarial review processes for contract readiness
- Reporting financial risk exposure to the board
Module 13: Regulatory Navigation & Compliance - Current CMS innovation models and participation pathways
- Federal waivers: applications, timelines, and requirements
- Data sharing compliance: HIPAA, 42 CFR Part 2, and state laws
- Reporting requirements for ACOs and MSSPs
- Audit preparedness and documentation standards
- Addressing fraud, waste, and abuse concerns
- Transparency in incentive distribution
- Meeting beneficiary notification rules
- Tracking quality measure submission deadlines
- Updating policies for evolving regulatory landscapes
- Engaging legal counsel in contract design
- Preparing for site visits and program evaluations
Module 14: Real-World Implementation Projects - Designing a hypertension control program for value
- Launching a heart failure readmission reduction initiative
- Building a bundled payment model for joint replacements
- Creating a virtual-first primary care pathway
- Developing a maternity care episodic payment model
- Implementing a behavioural health integration pilot
- Optimising oncology care under total cost contracts
- Reducing ED utilisation in high-need populations
- Improving diabetes outcomes using remote monitoring
- Scaling a telehealth-enabled chronic care management program
- Aligning specialty pharmacy with clinical goals
- Integrating dental care into value-based primary models
- Launching a community paramedicine programme
- Designing a palliative care early identification system
- Reducing low-value imaging and testing
- Enhancing care coordination for dual eligibles
Module 15: Certification & Career Advancement - Final assessment: applying frameworks to your real project
- Submitting your board-ready value-based care proposal
- Receiving expert review and refinement feedback
- Earning your Certificate of Completion from The Art of Service
- Benchmarking your proposal against industry standards
- Adding certification to your LinkedIn and professional profiles
- Leveraging credentialing in promotion discussions
- Presenting your project to internal stakeholders
- Documenting impact for performance reviews
- Accessing alumni resources and peer network
- Continuing education credit eligibility information
- Next steps: advanced roles in population health and strategy
- Connecting with industry partners and recruiters
- Maintaining your certification with updates
- Using the curriculum as a training resource for your team
- Defining value in healthcare: quality, cost, and patient experience
- How value-based care differs from fee-for-service and pay-for-performance
- The evolution of value-based models: from pilot to policy
- Core principles of sustainable value-based transformation
- Understanding population health as the foundation of value
- The Triple Aim framework and its modern adaptations
- Key regulatory drivers: CMS, MACRA, MIPS, and APMs
- Identifying high-cost, high-utilization patient cohorts
- The role of equity in value-based design
- Barriers to adoption: cultural, structural, and financial
Module 2: Strategic Frameworks for High-Impact Leadership - Developing a value-driven mission and vision statement
- Aligning executive leadership around shared outcomes
- The Value Creation Canvas: a tool for strategic alignment
- Stakeholder mapping: who wins, who resists, who enables?
- Building the business case for value-based initiatives
- Creating urgency without inciting resistance
- Defining your organisation’s value-based maturity stage
- Setting aspirational yet achievable 12-month goals
- Leadership communication: framing change for clinicians and staff
- Navigating board expectations and financial thresholds
Module 3: Financial Models & Risk Contracting - Comparing shared savings, shared risk, and full capitation
- Understanding downside risk and financial safeguards
- Predictive modeling for budget neutrality and risk adjustment
- Calculating total cost of care (TCOC) accurately
- Bundled payments: design, negotiation, and execution
- Episode-based costing and attribution logic
- Reconciliation processes and payment lags
- Negotiating with payers: tactics for securing favourable terms
- Internal cost alignment: bringing finance and operations together
- Cash flow planning under value-based contracts
- Establishing reserves and contingency funding models
- Comparative analysis of ACOs, MSSPs, and Direct Contracting Entities
Module 4: Outcome Measurement & Performance Tracking - Selecting high-leverage clinical and operational metrics
- Choosing between HEDIS, CG-CAHPS, and custom measures
- Designing dashboards for executive and frontline use
- Real-time vs. lagging indicators: when to act
- Benchmarks: internal, regional, and national comparisons
- Avoiding metric overload and data paralysis
- Developing patient-reported outcome measures (PROMs)
- Data granularity: balancing actionable insights with privacy
- Attribution methodologies: claims-based, registry-based, hybrid
- Ensuring data integrity across care settings
- Linking outcomes to incentives and accountability
- Public reporting requirements and reputational impact
Module 5: Care Redesign & Clinical Integration - Redesigning care pathways for chronic conditions
- Embedding preventive care into episodic treatment
- Team-based care models: roles, workflows, and accountability
- Standardising evidence-based protocols across providers
- Transition management: reducing avoidable hospitalisations
- Addressing social determinants within clinical workflows
- Integrating behavioural health into primary care
- Virtual care as a value multiplier
- Pharmacy utilisation and formulary alignment
- Reducing low-value services and overuse
- Optimising specialist referrals and coordination
- Designing patient engagement strategies that stick
Module 6: Data Infrastructure & Technology Enablement - Assessing your organisation’s data readiness
- Essential data sources: EHR, claims, registries, patient feedback
- Data governance: ownership, access, and quality standards
- Interoperability requirements and FHIR standards
- Choosing between homegrown and vendor analytics platforms
- Real-time data feeds vs. batch reporting
- Building predictive risk stratification models
- Automating alerts and care team notifications
- Patient matching and longitudinal record creation
- Scalable data architecture for multi-entity systems
- Cloud-based analytics and secure data storage
- Integrating patient-generated data into the record
Module 7: Change Management & Organisational Adoption - Leading through resistance: psychology of clinical change
- Identifying and mobilising change champions
- Physician engagement: aligning incentives and values
- Staff training: role-specific learning paths
- Creating feedback loops for continuous improvement
- Managing competing priorities during transformation
- Linking performance to recognition and development
- Addressing burnout and workload concerns proactively
- Communicating wins and near-wins across the system
- Designing governance structures for sustained momentum
- Establishing a value-based steering committee
- Escalation pathways for unresolved operational barriers
Module 8: Patient-Centred Design & Equity Focus - Applying human-centred design to care models
- Mapping the patient journey for pain points and gaps
- Involving patients in co-designing services
- Measuring patient experience beyond CAHPS
- Reducing disparities in access, treatment, and outcomes
- Culturally competent care pathways
- Language access and health literacy integration
- Transportation, food, and housing support integration
- Trusting relationships as a clinical outcome
- Designing inclusive data collection methods
- Monitoring equity metrics in real time
- Reporting equity outcomes to boards and communities
Module 9: Measurement-Based Improvement & Rapid Learning - Plan-Do-Study-Act (PDSA) cycles in value-based settings
- Running small tests of change across clinics
- Using run charts and control limits for performance insight
- Statistical process control for healthcare leaders
- Fast-cycle feedback: learning in weeks, not years
- Differentiating signal from noise in performance data
- Conducting root cause analysis for outlier performance
- Building a rapid learning health system culture
- Sharing best practices across care teams
- Documentation standards for audit readiness
- Linking improvement work to professional development
- Incentivising learning and experimentation
Module 10: Scaling & Sustaining Value-Based Models - From pilot to system-wide rollout: scaling frameworks
- Resource allocation for expansion phases
- Replicating success across service lines
- Managing complexity as programs grow
- Developing internal coaching and training capacity
- Standardising playbooks for consistency
- Monitoring fidelity during scaling
- Adjusting governance as programs mature
- Integrating value-based care into annual planning cycles
- Embedding value into capital investment decisions
- Succession planning for leadership continuity
- Preparing for external validation and accreditation
Module 11: Payer & Partner Collaboration - Building trust with commercial and Medicare Advantage plans
- Joint performance reporting agreements
- Resolving data discrepancies with payers
- Co-investing in care management services
- Developing aligned incentive structures
- Navigating anti-kickback and Stark law considerations
- Creating transparency in pricing and outcomes
- Partnering with community-based organisations
- Integrating home health and post-acute providers
- Building regional coalitions for population health
- Developing shared data use agreements
- Negotiating gainsharing and shared savings distribution
Module 12: Advanced Risk Adjustment & Financial Protection - Understanding HCC (Hierarchical Condition Category) coding
- Clinical documentation improvement (CDI) for risk accuracy
- Provider education on documentation for value
- Validating risk scores against clinical reality
- Detecting and preventing upcoding risks
- Using prospective vs. retrospective risk models
- Managing outlier cases and catastrophic risk
- Purchase of reinsurance or stop-loss coverage
- Internal risk pooling across providers
- Stress testing financial models under adverse scenarios
- Actuarial review processes for contract readiness
- Reporting financial risk exposure to the board
Module 13: Regulatory Navigation & Compliance - Current CMS innovation models and participation pathways
- Federal waivers: applications, timelines, and requirements
- Data sharing compliance: HIPAA, 42 CFR Part 2, and state laws
- Reporting requirements for ACOs and MSSPs
- Audit preparedness and documentation standards
- Addressing fraud, waste, and abuse concerns
- Transparency in incentive distribution
- Meeting beneficiary notification rules
- Tracking quality measure submission deadlines
- Updating policies for evolving regulatory landscapes
- Engaging legal counsel in contract design
- Preparing for site visits and program evaluations
Module 14: Real-World Implementation Projects - Designing a hypertension control program for value
- Launching a heart failure readmission reduction initiative
- Building a bundled payment model for joint replacements
- Creating a virtual-first primary care pathway
- Developing a maternity care episodic payment model
- Implementing a behavioural health integration pilot
- Optimising oncology care under total cost contracts
- Reducing ED utilisation in high-need populations
- Improving diabetes outcomes using remote monitoring
- Scaling a telehealth-enabled chronic care management program
- Aligning specialty pharmacy with clinical goals
- Integrating dental care into value-based primary models
- Launching a community paramedicine programme
- Designing a palliative care early identification system
- Reducing low-value imaging and testing
- Enhancing care coordination for dual eligibles
Module 15: Certification & Career Advancement - Final assessment: applying frameworks to your real project
- Submitting your board-ready value-based care proposal
- Receiving expert review and refinement feedback
- Earning your Certificate of Completion from The Art of Service
- Benchmarking your proposal against industry standards
- Adding certification to your LinkedIn and professional profiles
- Leveraging credentialing in promotion discussions
- Presenting your project to internal stakeholders
- Documenting impact for performance reviews
- Accessing alumni resources and peer network
- Continuing education credit eligibility information
- Next steps: advanced roles in population health and strategy
- Connecting with industry partners and recruiters
- Maintaining your certification with updates
- Using the curriculum as a training resource for your team
- Comparing shared savings, shared risk, and full capitation
- Understanding downside risk and financial safeguards
- Predictive modeling for budget neutrality and risk adjustment
- Calculating total cost of care (TCOC) accurately
- Bundled payments: design, negotiation, and execution
- Episode-based costing and attribution logic
- Reconciliation processes and payment lags
- Negotiating with payers: tactics for securing favourable terms
- Internal cost alignment: bringing finance and operations together
- Cash flow planning under value-based contracts
- Establishing reserves and contingency funding models
- Comparative analysis of ACOs, MSSPs, and Direct Contracting Entities
Module 4: Outcome Measurement & Performance Tracking - Selecting high-leverage clinical and operational metrics
- Choosing between HEDIS, CG-CAHPS, and custom measures
- Designing dashboards for executive and frontline use
- Real-time vs. lagging indicators: when to act
- Benchmarks: internal, regional, and national comparisons
- Avoiding metric overload and data paralysis
- Developing patient-reported outcome measures (PROMs)
- Data granularity: balancing actionable insights with privacy
- Attribution methodologies: claims-based, registry-based, hybrid
- Ensuring data integrity across care settings
- Linking outcomes to incentives and accountability
- Public reporting requirements and reputational impact
Module 5: Care Redesign & Clinical Integration - Redesigning care pathways for chronic conditions
- Embedding preventive care into episodic treatment
- Team-based care models: roles, workflows, and accountability
- Standardising evidence-based protocols across providers
- Transition management: reducing avoidable hospitalisations
- Addressing social determinants within clinical workflows
- Integrating behavioural health into primary care
- Virtual care as a value multiplier
- Pharmacy utilisation and formulary alignment
- Reducing low-value services and overuse
- Optimising specialist referrals and coordination
- Designing patient engagement strategies that stick
Module 6: Data Infrastructure & Technology Enablement - Assessing your organisation’s data readiness
- Essential data sources: EHR, claims, registries, patient feedback
- Data governance: ownership, access, and quality standards
- Interoperability requirements and FHIR standards
- Choosing between homegrown and vendor analytics platforms
- Real-time data feeds vs. batch reporting
- Building predictive risk stratification models
- Automating alerts and care team notifications
- Patient matching and longitudinal record creation
- Scalable data architecture for multi-entity systems
- Cloud-based analytics and secure data storage
- Integrating patient-generated data into the record
Module 7: Change Management & Organisational Adoption - Leading through resistance: psychology of clinical change
- Identifying and mobilising change champions
- Physician engagement: aligning incentives and values
- Staff training: role-specific learning paths
- Creating feedback loops for continuous improvement
- Managing competing priorities during transformation
- Linking performance to recognition and development
- Addressing burnout and workload concerns proactively
- Communicating wins and near-wins across the system
- Designing governance structures for sustained momentum
- Establishing a value-based steering committee
- Escalation pathways for unresolved operational barriers
Module 8: Patient-Centred Design & Equity Focus - Applying human-centred design to care models
- Mapping the patient journey for pain points and gaps
- Involving patients in co-designing services
- Measuring patient experience beyond CAHPS
- Reducing disparities in access, treatment, and outcomes
- Culturally competent care pathways
- Language access and health literacy integration
- Transportation, food, and housing support integration
- Trusting relationships as a clinical outcome
- Designing inclusive data collection methods
- Monitoring equity metrics in real time
- Reporting equity outcomes to boards and communities
Module 9: Measurement-Based Improvement & Rapid Learning - Plan-Do-Study-Act (PDSA) cycles in value-based settings
- Running small tests of change across clinics
- Using run charts and control limits for performance insight
- Statistical process control for healthcare leaders
- Fast-cycle feedback: learning in weeks, not years
- Differentiating signal from noise in performance data
- Conducting root cause analysis for outlier performance
- Building a rapid learning health system culture
- Sharing best practices across care teams
- Documentation standards for audit readiness
- Linking improvement work to professional development
- Incentivising learning and experimentation
Module 10: Scaling & Sustaining Value-Based Models - From pilot to system-wide rollout: scaling frameworks
- Resource allocation for expansion phases
- Replicating success across service lines
- Managing complexity as programs grow
- Developing internal coaching and training capacity
- Standardising playbooks for consistency
- Monitoring fidelity during scaling
- Adjusting governance as programs mature
- Integrating value-based care into annual planning cycles
- Embedding value into capital investment decisions
- Succession planning for leadership continuity
- Preparing for external validation and accreditation
Module 11: Payer & Partner Collaboration - Building trust with commercial and Medicare Advantage plans
- Joint performance reporting agreements
- Resolving data discrepancies with payers
- Co-investing in care management services
- Developing aligned incentive structures
- Navigating anti-kickback and Stark law considerations
- Creating transparency in pricing and outcomes
- Partnering with community-based organisations
- Integrating home health and post-acute providers
- Building regional coalitions for population health
- Developing shared data use agreements
- Negotiating gainsharing and shared savings distribution
Module 12: Advanced Risk Adjustment & Financial Protection - Understanding HCC (Hierarchical Condition Category) coding
- Clinical documentation improvement (CDI) for risk accuracy
- Provider education on documentation for value
- Validating risk scores against clinical reality
- Detecting and preventing upcoding risks
- Using prospective vs. retrospective risk models
- Managing outlier cases and catastrophic risk
- Purchase of reinsurance or stop-loss coverage
- Internal risk pooling across providers
- Stress testing financial models under adverse scenarios
- Actuarial review processes for contract readiness
- Reporting financial risk exposure to the board
Module 13: Regulatory Navigation & Compliance - Current CMS innovation models and participation pathways
- Federal waivers: applications, timelines, and requirements
- Data sharing compliance: HIPAA, 42 CFR Part 2, and state laws
- Reporting requirements for ACOs and MSSPs
- Audit preparedness and documentation standards
- Addressing fraud, waste, and abuse concerns
- Transparency in incentive distribution
- Meeting beneficiary notification rules
- Tracking quality measure submission deadlines
- Updating policies for evolving regulatory landscapes
- Engaging legal counsel in contract design
- Preparing for site visits and program evaluations
Module 14: Real-World Implementation Projects - Designing a hypertension control program for value
- Launching a heart failure readmission reduction initiative
- Building a bundled payment model for joint replacements
- Creating a virtual-first primary care pathway
- Developing a maternity care episodic payment model
- Implementing a behavioural health integration pilot
- Optimising oncology care under total cost contracts
- Reducing ED utilisation in high-need populations
- Improving diabetes outcomes using remote monitoring
- Scaling a telehealth-enabled chronic care management program
- Aligning specialty pharmacy with clinical goals
- Integrating dental care into value-based primary models
- Launching a community paramedicine programme
- Designing a palliative care early identification system
- Reducing low-value imaging and testing
- Enhancing care coordination for dual eligibles
Module 15: Certification & Career Advancement - Final assessment: applying frameworks to your real project
- Submitting your board-ready value-based care proposal
- Receiving expert review and refinement feedback
- Earning your Certificate of Completion from The Art of Service
- Benchmarking your proposal against industry standards
- Adding certification to your LinkedIn and professional profiles
- Leveraging credentialing in promotion discussions
- Presenting your project to internal stakeholders
- Documenting impact for performance reviews
- Accessing alumni resources and peer network
- Continuing education credit eligibility information
- Next steps: advanced roles in population health and strategy
- Connecting with industry partners and recruiters
- Maintaining your certification with updates
- Using the curriculum as a training resource for your team
- Redesigning care pathways for chronic conditions
- Embedding preventive care into episodic treatment
- Team-based care models: roles, workflows, and accountability
- Standardising evidence-based protocols across providers
- Transition management: reducing avoidable hospitalisations
- Addressing social determinants within clinical workflows
- Integrating behavioural health into primary care
- Virtual care as a value multiplier
- Pharmacy utilisation and formulary alignment
- Reducing low-value services and overuse
- Optimising specialist referrals and coordination
- Designing patient engagement strategies that stick
Module 6: Data Infrastructure & Technology Enablement - Assessing your organisation’s data readiness
- Essential data sources: EHR, claims, registries, patient feedback
- Data governance: ownership, access, and quality standards
- Interoperability requirements and FHIR standards
- Choosing between homegrown and vendor analytics platforms
- Real-time data feeds vs. batch reporting
- Building predictive risk stratification models
- Automating alerts and care team notifications
- Patient matching and longitudinal record creation
- Scalable data architecture for multi-entity systems
- Cloud-based analytics and secure data storage
- Integrating patient-generated data into the record
Module 7: Change Management & Organisational Adoption - Leading through resistance: psychology of clinical change
- Identifying and mobilising change champions
- Physician engagement: aligning incentives and values
- Staff training: role-specific learning paths
- Creating feedback loops for continuous improvement
- Managing competing priorities during transformation
- Linking performance to recognition and development
- Addressing burnout and workload concerns proactively
- Communicating wins and near-wins across the system
- Designing governance structures for sustained momentum
- Establishing a value-based steering committee
- Escalation pathways for unresolved operational barriers
Module 8: Patient-Centred Design & Equity Focus - Applying human-centred design to care models
- Mapping the patient journey for pain points and gaps
- Involving patients in co-designing services
- Measuring patient experience beyond CAHPS
- Reducing disparities in access, treatment, and outcomes
- Culturally competent care pathways
- Language access and health literacy integration
- Transportation, food, and housing support integration
- Trusting relationships as a clinical outcome
- Designing inclusive data collection methods
- Monitoring equity metrics in real time
- Reporting equity outcomes to boards and communities
Module 9: Measurement-Based Improvement & Rapid Learning - Plan-Do-Study-Act (PDSA) cycles in value-based settings
- Running small tests of change across clinics
- Using run charts and control limits for performance insight
- Statistical process control for healthcare leaders
- Fast-cycle feedback: learning in weeks, not years
- Differentiating signal from noise in performance data
- Conducting root cause analysis for outlier performance
- Building a rapid learning health system culture
- Sharing best practices across care teams
- Documentation standards for audit readiness
- Linking improvement work to professional development
- Incentivising learning and experimentation
Module 10: Scaling & Sustaining Value-Based Models - From pilot to system-wide rollout: scaling frameworks
- Resource allocation for expansion phases
- Replicating success across service lines
- Managing complexity as programs grow
- Developing internal coaching and training capacity
- Standardising playbooks for consistency
- Monitoring fidelity during scaling
- Adjusting governance as programs mature
- Integrating value-based care into annual planning cycles
- Embedding value into capital investment decisions
- Succession planning for leadership continuity
- Preparing for external validation and accreditation
Module 11: Payer & Partner Collaboration - Building trust with commercial and Medicare Advantage plans
- Joint performance reporting agreements
- Resolving data discrepancies with payers
- Co-investing in care management services
- Developing aligned incentive structures
- Navigating anti-kickback and Stark law considerations
- Creating transparency in pricing and outcomes
- Partnering with community-based organisations
- Integrating home health and post-acute providers
- Building regional coalitions for population health
- Developing shared data use agreements
- Negotiating gainsharing and shared savings distribution
Module 12: Advanced Risk Adjustment & Financial Protection - Understanding HCC (Hierarchical Condition Category) coding
- Clinical documentation improvement (CDI) for risk accuracy
- Provider education on documentation for value
- Validating risk scores against clinical reality
- Detecting and preventing upcoding risks
- Using prospective vs. retrospective risk models
- Managing outlier cases and catastrophic risk
- Purchase of reinsurance or stop-loss coverage
- Internal risk pooling across providers
- Stress testing financial models under adverse scenarios
- Actuarial review processes for contract readiness
- Reporting financial risk exposure to the board
Module 13: Regulatory Navigation & Compliance - Current CMS innovation models and participation pathways
- Federal waivers: applications, timelines, and requirements
- Data sharing compliance: HIPAA, 42 CFR Part 2, and state laws
- Reporting requirements for ACOs and MSSPs
- Audit preparedness and documentation standards
- Addressing fraud, waste, and abuse concerns
- Transparency in incentive distribution
- Meeting beneficiary notification rules
- Tracking quality measure submission deadlines
- Updating policies for evolving regulatory landscapes
- Engaging legal counsel in contract design
- Preparing for site visits and program evaluations
Module 14: Real-World Implementation Projects - Designing a hypertension control program for value
- Launching a heart failure readmission reduction initiative
- Building a bundled payment model for joint replacements
- Creating a virtual-first primary care pathway
- Developing a maternity care episodic payment model
- Implementing a behavioural health integration pilot
- Optimising oncology care under total cost contracts
- Reducing ED utilisation in high-need populations
- Improving diabetes outcomes using remote monitoring
- Scaling a telehealth-enabled chronic care management program
- Aligning specialty pharmacy with clinical goals
- Integrating dental care into value-based primary models
- Launching a community paramedicine programme
- Designing a palliative care early identification system
- Reducing low-value imaging and testing
- Enhancing care coordination for dual eligibles
Module 15: Certification & Career Advancement - Final assessment: applying frameworks to your real project
- Submitting your board-ready value-based care proposal
- Receiving expert review and refinement feedback
- Earning your Certificate of Completion from The Art of Service
- Benchmarking your proposal against industry standards
- Adding certification to your LinkedIn and professional profiles
- Leveraging credentialing in promotion discussions
- Presenting your project to internal stakeholders
- Documenting impact for performance reviews
- Accessing alumni resources and peer network
- Continuing education credit eligibility information
- Next steps: advanced roles in population health and strategy
- Connecting with industry partners and recruiters
- Maintaining your certification with updates
- Using the curriculum as a training resource for your team
- Leading through resistance: psychology of clinical change
- Identifying and mobilising change champions
- Physician engagement: aligning incentives and values
- Staff training: role-specific learning paths
- Creating feedback loops for continuous improvement
- Managing competing priorities during transformation
- Linking performance to recognition and development
- Addressing burnout and workload concerns proactively
- Communicating wins and near-wins across the system
- Designing governance structures for sustained momentum
- Establishing a value-based steering committee
- Escalation pathways for unresolved operational barriers
Module 8: Patient-Centred Design & Equity Focus - Applying human-centred design to care models
- Mapping the patient journey for pain points and gaps
- Involving patients in co-designing services
- Measuring patient experience beyond CAHPS
- Reducing disparities in access, treatment, and outcomes
- Culturally competent care pathways
- Language access and health literacy integration
- Transportation, food, and housing support integration
- Trusting relationships as a clinical outcome
- Designing inclusive data collection methods
- Monitoring equity metrics in real time
- Reporting equity outcomes to boards and communities
Module 9: Measurement-Based Improvement & Rapid Learning - Plan-Do-Study-Act (PDSA) cycles in value-based settings
- Running small tests of change across clinics
- Using run charts and control limits for performance insight
- Statistical process control for healthcare leaders
- Fast-cycle feedback: learning in weeks, not years
- Differentiating signal from noise in performance data
- Conducting root cause analysis for outlier performance
- Building a rapid learning health system culture
- Sharing best practices across care teams
- Documentation standards for audit readiness
- Linking improvement work to professional development
- Incentivising learning and experimentation
Module 10: Scaling & Sustaining Value-Based Models - From pilot to system-wide rollout: scaling frameworks
- Resource allocation for expansion phases
- Replicating success across service lines
- Managing complexity as programs grow
- Developing internal coaching and training capacity
- Standardising playbooks for consistency
- Monitoring fidelity during scaling
- Adjusting governance as programs mature
- Integrating value-based care into annual planning cycles
- Embedding value into capital investment decisions
- Succession planning for leadership continuity
- Preparing for external validation and accreditation
Module 11: Payer & Partner Collaboration - Building trust with commercial and Medicare Advantage plans
- Joint performance reporting agreements
- Resolving data discrepancies with payers
- Co-investing in care management services
- Developing aligned incentive structures
- Navigating anti-kickback and Stark law considerations
- Creating transparency in pricing and outcomes
- Partnering with community-based organisations
- Integrating home health and post-acute providers
- Building regional coalitions for population health
- Developing shared data use agreements
- Negotiating gainsharing and shared savings distribution
Module 12: Advanced Risk Adjustment & Financial Protection - Understanding HCC (Hierarchical Condition Category) coding
- Clinical documentation improvement (CDI) for risk accuracy
- Provider education on documentation for value
- Validating risk scores against clinical reality
- Detecting and preventing upcoding risks
- Using prospective vs. retrospective risk models
- Managing outlier cases and catastrophic risk
- Purchase of reinsurance or stop-loss coverage
- Internal risk pooling across providers
- Stress testing financial models under adverse scenarios
- Actuarial review processes for contract readiness
- Reporting financial risk exposure to the board
Module 13: Regulatory Navigation & Compliance - Current CMS innovation models and participation pathways
- Federal waivers: applications, timelines, and requirements
- Data sharing compliance: HIPAA, 42 CFR Part 2, and state laws
- Reporting requirements for ACOs and MSSPs
- Audit preparedness and documentation standards
- Addressing fraud, waste, and abuse concerns
- Transparency in incentive distribution
- Meeting beneficiary notification rules
- Tracking quality measure submission deadlines
- Updating policies for evolving regulatory landscapes
- Engaging legal counsel in contract design
- Preparing for site visits and program evaluations
Module 14: Real-World Implementation Projects - Designing a hypertension control program for value
- Launching a heart failure readmission reduction initiative
- Building a bundled payment model for joint replacements
- Creating a virtual-first primary care pathway
- Developing a maternity care episodic payment model
- Implementing a behavioural health integration pilot
- Optimising oncology care under total cost contracts
- Reducing ED utilisation in high-need populations
- Improving diabetes outcomes using remote monitoring
- Scaling a telehealth-enabled chronic care management program
- Aligning specialty pharmacy with clinical goals
- Integrating dental care into value-based primary models
- Launching a community paramedicine programme
- Designing a palliative care early identification system
- Reducing low-value imaging and testing
- Enhancing care coordination for dual eligibles
Module 15: Certification & Career Advancement - Final assessment: applying frameworks to your real project
- Submitting your board-ready value-based care proposal
- Receiving expert review and refinement feedback
- Earning your Certificate of Completion from The Art of Service
- Benchmarking your proposal against industry standards
- Adding certification to your LinkedIn and professional profiles
- Leveraging credentialing in promotion discussions
- Presenting your project to internal stakeholders
- Documenting impact for performance reviews
- Accessing alumni resources and peer network
- Continuing education credit eligibility information
- Next steps: advanced roles in population health and strategy
- Connecting with industry partners and recruiters
- Maintaining your certification with updates
- Using the curriculum as a training resource for your team
- Plan-Do-Study-Act (PDSA) cycles in value-based settings
- Running small tests of change across clinics
- Using run charts and control limits for performance insight
- Statistical process control for healthcare leaders
- Fast-cycle feedback: learning in weeks, not years
- Differentiating signal from noise in performance data
- Conducting root cause analysis for outlier performance
- Building a rapid learning health system culture
- Sharing best practices across care teams
- Documentation standards for audit readiness
- Linking improvement work to professional development
- Incentivising learning and experimentation
Module 10: Scaling & Sustaining Value-Based Models - From pilot to system-wide rollout: scaling frameworks
- Resource allocation for expansion phases
- Replicating success across service lines
- Managing complexity as programs grow
- Developing internal coaching and training capacity
- Standardising playbooks for consistency
- Monitoring fidelity during scaling
- Adjusting governance as programs mature
- Integrating value-based care into annual planning cycles
- Embedding value into capital investment decisions
- Succession planning for leadership continuity
- Preparing for external validation and accreditation
Module 11: Payer & Partner Collaboration - Building trust with commercial and Medicare Advantage plans
- Joint performance reporting agreements
- Resolving data discrepancies with payers
- Co-investing in care management services
- Developing aligned incentive structures
- Navigating anti-kickback and Stark law considerations
- Creating transparency in pricing and outcomes
- Partnering with community-based organisations
- Integrating home health and post-acute providers
- Building regional coalitions for population health
- Developing shared data use agreements
- Negotiating gainsharing and shared savings distribution
Module 12: Advanced Risk Adjustment & Financial Protection - Understanding HCC (Hierarchical Condition Category) coding
- Clinical documentation improvement (CDI) for risk accuracy
- Provider education on documentation for value
- Validating risk scores against clinical reality
- Detecting and preventing upcoding risks
- Using prospective vs. retrospective risk models
- Managing outlier cases and catastrophic risk
- Purchase of reinsurance or stop-loss coverage
- Internal risk pooling across providers
- Stress testing financial models under adverse scenarios
- Actuarial review processes for contract readiness
- Reporting financial risk exposure to the board
Module 13: Regulatory Navigation & Compliance - Current CMS innovation models and participation pathways
- Federal waivers: applications, timelines, and requirements
- Data sharing compliance: HIPAA, 42 CFR Part 2, and state laws
- Reporting requirements for ACOs and MSSPs
- Audit preparedness and documentation standards
- Addressing fraud, waste, and abuse concerns
- Transparency in incentive distribution
- Meeting beneficiary notification rules
- Tracking quality measure submission deadlines
- Updating policies for evolving regulatory landscapes
- Engaging legal counsel in contract design
- Preparing for site visits and program evaluations
Module 14: Real-World Implementation Projects - Designing a hypertension control program for value
- Launching a heart failure readmission reduction initiative
- Building a bundled payment model for joint replacements
- Creating a virtual-first primary care pathway
- Developing a maternity care episodic payment model
- Implementing a behavioural health integration pilot
- Optimising oncology care under total cost contracts
- Reducing ED utilisation in high-need populations
- Improving diabetes outcomes using remote monitoring
- Scaling a telehealth-enabled chronic care management program
- Aligning specialty pharmacy with clinical goals
- Integrating dental care into value-based primary models
- Launching a community paramedicine programme
- Designing a palliative care early identification system
- Reducing low-value imaging and testing
- Enhancing care coordination for dual eligibles
Module 15: Certification & Career Advancement - Final assessment: applying frameworks to your real project
- Submitting your board-ready value-based care proposal
- Receiving expert review and refinement feedback
- Earning your Certificate of Completion from The Art of Service
- Benchmarking your proposal against industry standards
- Adding certification to your LinkedIn and professional profiles
- Leveraging credentialing in promotion discussions
- Presenting your project to internal stakeholders
- Documenting impact for performance reviews
- Accessing alumni resources and peer network
- Continuing education credit eligibility information
- Next steps: advanced roles in population health and strategy
- Connecting with industry partners and recruiters
- Maintaining your certification with updates
- Using the curriculum as a training resource for your team
- Building trust with commercial and Medicare Advantage plans
- Joint performance reporting agreements
- Resolving data discrepancies with payers
- Co-investing in care management services
- Developing aligned incentive structures
- Navigating anti-kickback and Stark law considerations
- Creating transparency in pricing and outcomes
- Partnering with community-based organisations
- Integrating home health and post-acute providers
- Building regional coalitions for population health
- Developing shared data use agreements
- Negotiating gainsharing and shared savings distribution
Module 12: Advanced Risk Adjustment & Financial Protection - Understanding HCC (Hierarchical Condition Category) coding
- Clinical documentation improvement (CDI) for risk accuracy
- Provider education on documentation for value
- Validating risk scores against clinical reality
- Detecting and preventing upcoding risks
- Using prospective vs. retrospective risk models
- Managing outlier cases and catastrophic risk
- Purchase of reinsurance or stop-loss coverage
- Internal risk pooling across providers
- Stress testing financial models under adverse scenarios
- Actuarial review processes for contract readiness
- Reporting financial risk exposure to the board
Module 13: Regulatory Navigation & Compliance - Current CMS innovation models and participation pathways
- Federal waivers: applications, timelines, and requirements
- Data sharing compliance: HIPAA, 42 CFR Part 2, and state laws
- Reporting requirements for ACOs and MSSPs
- Audit preparedness and documentation standards
- Addressing fraud, waste, and abuse concerns
- Transparency in incentive distribution
- Meeting beneficiary notification rules
- Tracking quality measure submission deadlines
- Updating policies for evolving regulatory landscapes
- Engaging legal counsel in contract design
- Preparing for site visits and program evaluations
Module 14: Real-World Implementation Projects - Designing a hypertension control program for value
- Launching a heart failure readmission reduction initiative
- Building a bundled payment model for joint replacements
- Creating a virtual-first primary care pathway
- Developing a maternity care episodic payment model
- Implementing a behavioural health integration pilot
- Optimising oncology care under total cost contracts
- Reducing ED utilisation in high-need populations
- Improving diabetes outcomes using remote monitoring
- Scaling a telehealth-enabled chronic care management program
- Aligning specialty pharmacy with clinical goals
- Integrating dental care into value-based primary models
- Launching a community paramedicine programme
- Designing a palliative care early identification system
- Reducing low-value imaging and testing
- Enhancing care coordination for dual eligibles
Module 15: Certification & Career Advancement - Final assessment: applying frameworks to your real project
- Submitting your board-ready value-based care proposal
- Receiving expert review and refinement feedback
- Earning your Certificate of Completion from The Art of Service
- Benchmarking your proposal against industry standards
- Adding certification to your LinkedIn and professional profiles
- Leveraging credentialing in promotion discussions
- Presenting your project to internal stakeholders
- Documenting impact for performance reviews
- Accessing alumni resources and peer network
- Continuing education credit eligibility information
- Next steps: advanced roles in population health and strategy
- Connecting with industry partners and recruiters
- Maintaining your certification with updates
- Using the curriculum as a training resource for your team
- Current CMS innovation models and participation pathways
- Federal waivers: applications, timelines, and requirements
- Data sharing compliance: HIPAA, 42 CFR Part 2, and state laws
- Reporting requirements for ACOs and MSSPs
- Audit preparedness and documentation standards
- Addressing fraud, waste, and abuse concerns
- Transparency in incentive distribution
- Meeting beneficiary notification rules
- Tracking quality measure submission deadlines
- Updating policies for evolving regulatory landscapes
- Engaging legal counsel in contract design
- Preparing for site visits and program evaluations
Module 14: Real-World Implementation Projects - Designing a hypertension control program for value
- Launching a heart failure readmission reduction initiative
- Building a bundled payment model for joint replacements
- Creating a virtual-first primary care pathway
- Developing a maternity care episodic payment model
- Implementing a behavioural health integration pilot
- Optimising oncology care under total cost contracts
- Reducing ED utilisation in high-need populations
- Improving diabetes outcomes using remote monitoring
- Scaling a telehealth-enabled chronic care management program
- Aligning specialty pharmacy with clinical goals
- Integrating dental care into value-based primary models
- Launching a community paramedicine programme
- Designing a palliative care early identification system
- Reducing low-value imaging and testing
- Enhancing care coordination for dual eligibles
Module 15: Certification & Career Advancement - Final assessment: applying frameworks to your real project
- Submitting your board-ready value-based care proposal
- Receiving expert review and refinement feedback
- Earning your Certificate of Completion from The Art of Service
- Benchmarking your proposal against industry standards
- Adding certification to your LinkedIn and professional profiles
- Leveraging credentialing in promotion discussions
- Presenting your project to internal stakeholders
- Documenting impact for performance reviews
- Accessing alumni resources and peer network
- Continuing education credit eligibility information
- Next steps: advanced roles in population health and strategy
- Connecting with industry partners and recruiters
- Maintaining your certification with updates
- Using the curriculum as a training resource for your team
- Final assessment: applying frameworks to your real project
- Submitting your board-ready value-based care proposal
- Receiving expert review and refinement feedback
- Earning your Certificate of Completion from The Art of Service
- Benchmarking your proposal against industry standards
- Adding certification to your LinkedIn and professional profiles
- Leveraging credentialing in promotion discussions
- Presenting your project to internal stakeholders
- Documenting impact for performance reviews
- Accessing alumni resources and peer network
- Continuing education credit eligibility information
- Next steps: advanced roles in population health and strategy
- Connecting with industry partners and recruiters
- Maintaining your certification with updates
- Using the curriculum as a training resource for your team