Building clinical integration that effectively supports alternative payment models

Alternative payment models (APMs) have emerged as a key strategy to improve care coordination, enhance outcomes, and control expenses in the shift to value-based care, with a strong focus on controlling costs.

“By all estimates, we’re spending $4.5 trillion on healthcare today,” noted Abhinav Shashank, CEO and cofounder of Innovaccer, during a session at the 2025 HIMSS Global Conference. “If U.S. healthcare was the GDP of a country, it would be the third largest in the world, after the United States and China.”

This unsustainable trajectory has driven policymakers, payers, and providers to embrace value-based care models, with Medicare setting a goal for 100% value-based payments by 2030.

Shashank was joined by his colleague Hemant Gupta, associate vice president of customer success provider and payer markets at Innovaccer, and Harpreet Cheema, senior vice president of payer strategy, relationships, and analytics at CommonSpirit Health, to discuss their journey in implementing APMs and clinically integrated networks (CINs) to address these challenges.

Over the first two years of their collaboration, they have demonstrated how data integration, care coordination, and AI-driven insights can accelerate the transition to value-based care.

CommonSpirit Health’s APM commitment

CommonSpirit Health, one of the largest faith-based health systems in the country, has committed to transitioning 50% of its business from fee-for-service to value-based care.

“The key disruptor,” Cheema explained, “has been the need to shift the lens from treating people when they’re sick to taking accountability for their overall health.” Achieving this shift requires new care delivery frameworks, incentives aligned with patient well-being, and robust infrastructure capable of managing the complexities of population health.