The latest research from the Protera team
Download the latest edition of Protera Insights for leading medical care insights from the Protera Health Team
CMS is telling plans that high-touch, outcomes-oriented care is going to be an anchor for a significant amount of earnable top-line revenue. This is exactly what Protera Health’s value-based virtual MSK clinic was built for.
Dr. Eric Makhni of Protera Health provides healthcare leaders and health plans with a roadmap to scale value-based specialty care and control rising musculoskeletal (MSK) costs.
Dr. Eric Makhni, reveals the reasons that musculoskeletal (MSK) costs are consistently high and details the three options health plans have to address them.
An inside look at the 2025 Orthopedic Value-Based Care (OVBC) Interdisciplinary Conference
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The healthcare industry stands at a crossroads. As the costs of care continue to rise and patient outcomes often fail to meet expectations, health plans must reevaluate their approach to managing care.
What Every Government Health Plan Leader Needs to Know
The Opportunity for MA As Medicare Advantage (MA) plans continue to focus on improving member outcomes while controlling costs, digital specialty care solutions have emerged as a powerful tool for enhancing access to high-quality care. However, successfully integrating these technologies into MA plans requires a strategic approach to maximize their impact on both clinical outcomes and financial performance. Here are the top five ways to effectively incorporate digital specialty care into your Medicare Advantage plan...
Download the latest edition of Protera Insights for leading medical care insights from the Protera Health Team.
As health plans increasingly adopt value-based care models, measuring the cost of care becomes crucial for assessing program success and ensuring sustainability. For specialty care programs—particularly in musculoskeletal health—key cost metrics provide insight into performance and guide future innovations. Below, we explore three primary methods health plans use to evaluate the cost of care in specialty value-based programs. In Parts 1 and 2, we discussed the numerator of Porter’s value equation. Part 3 is about costs and an overview of three different ways to measure them. At the end, we will explain how to put all three components of the value equation together.
Applying Porter’s Key Framework for Health Insurance Plans.
This post is an announcement for a new newsletter - "The Value Shift" - which dives into topics related to value-based specialty health care. We invite any leaders, clinicians, and operators who are serious about implementing value-based care transformation to subscribe and engage with this newsletter. More details below...
Behold the Integrated Practice Unit (IPU)
Findings and Opportunities as Reported by the Peterson Health Technology Institute
Spearheaded by the Affordable Care Act 1 , value-based health care has taken center stage in American health care.
In many value-based arrangements, a majority of the expenditures is the result of specialty care.
