Summary
In this episode of the Value-Based Care Corner, John P. Carter sits down with Michelle Mirkovic of Southwestern Health Resources to discuss how the organization supports a diverse network that includes two health systems and more than 340 independent providers.
Michelle explains how provider relationship managers work directly with practices to connect value-based care goals with actionable resources, including patient transportation, hospital admission data, referral insights, and practice-level support. The conversation also explores Southwestern Health Resources’ growing focus on specialist engagement as CMS continues expanding accountability across the care continuum.
John and Michelle discuss emerging payment models, the continued shift away from fee-for-service, and the challenge ACOs face when they are held responsible for costs they cannot fully control. They also highlight the importance of anticipating CMS priorities, evaluating new technology, and preparing providers for what comes next.
Key Takeaways
- Independent providers need practical support that fits within the daily realities of their practices.
- Strong provider relationships can help translate cost, quality, and utilization data into action.
- Specialist engagement is becoming increasingly important as CMS expands value-based accountability.
- Preparing for future models requires organizations to recognize policy signals and begin adapting early.
What You’ll Learn
01:53 – How Southwestern Health Resources supports independent providers participating in value-based care
04:59 – Why specialist engagement is becoming a greater priority for ACOs
08:08 – How Southwestern Health Resources is evaluating MSSP and ACO REACH
11:51 – Why ACOs are often held accountable for healthcare spending they cannot fully control
14:00 – How ACOs can anticipate future models and prepare providers for what comes next
