Oct 5, 2026 · 27 min · 10 segments
As CMS continues to refine its approach to value-based care, healthcare organizations face critical decisions about how to participate in accountable care models. With ACO REACH coming to an end and…
Emily BrowerGuest
Daniel MarinoHost
As we've talked about time and time again on the program, value-based care continues to pick up momentum.

And not only is it occurring, as we mentioned, in the commercial space, but certainly CMS continues to evolve, continues to introduce new programs.

And we're at a bit of a pivotal moment, if you will, on some of the value-based programs that CMS continues to introduce to providers.

And if you think about it over the past decade, it's been an interesting journey where CMS has tested a number of programs, right? I mean, we started out with the straight MSSP, the pioneer program went from to next gen direct contracting.

And then most recently we've had the ACO reach, which is sunsetting at the end of this year.

And now we've got some new programs, a new chapter of the of the CMS programs and its lead that is replacing reach as well as then the team model and the continued evolution of MSSP and I find in many of my conversations that Many of the providers, although they've begun to evaluate and identify what direction they want to go, are still a little bit leery about what that program really means to their organization.

How can they continue to be successful in it? Or what do they need to do in order to create their value-based care operating model to ensure the right level of performance and financial success? I'm very excited today to have on our program Emily Brower.

Emily brings decades of experience leading clinical integration, population health, value-based care strategies for not only for NACoS, but she has worked with other provider organizations over the years.

She's been the president of NACoS since 2025 and is a longtime member and board member of NACoS.

As we've talked about time and time again on the program, value-based care continues to pick up momentum.

And not only is it occurring, as we mentioned, in the commercial space, but certainly CMS continues to evolve, continues to introduce new programs.

And we're at a bit of a pivotal moment, if you will, on some of the value-based programs that CMS continues to introduce to providers.

And if you think about it over the past decade, it's been an interesting journey where CMS has tested a number of programs, right? I mean, we started out with the straight MSSP, the pioneer program went from to next gen direct contracting.

And then most recently we've had the ACO reach, which is sunsetting at the end of this year.

And now we've got some new programs, a new chapter of the of the CMS programs and its lead that is replacing reach as well as then the team model and the continued evolution of MSSP and I find in many of my conversations that Many of the providers, although they've begun to evaluate and identify what direction they want to go, are still a little bit leery about what that program really means to their organization.

How can they continue to be successful in it? Or what do they need to do in order to create their value-based care operating model to ensure the right level of performance and financial success? I'm very excited today to have on our program Emily Brower.

Emily brings decades of experience leading clinical integration, population health, value-based care strategies for not only for NACoS, but she has worked with other provider organizations over the years.

She's been the president of NACoS since 2025 and is a longtime member and board member of NACoS.
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