Value-Based Enterprise and Value-Based Care Model Update (On-Demand Webinar)

Date: 04/21/26

Closed captions are available.

Overview: This webinar explores value-based enterprise (VBE) models that incentivize care coordination, quality improvement, and cost containment—and how those models can be structured to comply with key federal health care fraud and abuse laws. The speakers examine how data sharing and performance measurement function as the backbone of compliant value-based arrangements, enabling participants to align financial incentives with measurable outcomes. The webinar also highlights how VBE models allow providers and other stakeholders to redesign legacy arrangements, leverage actionable data, and pursue quality and cost goals in ways that were not feasible under prior regulatory frameworks.

Learning Objectives: 

• Discuss the VBE regulatory framework and how ACO waivers, Stark Law exceptions, Anti-Kickback safe harbors, and the VBE rules fit together
• Navigate the VBE risk continuum, including full-risk, meaningful downside risk, and no risk arrangements, and understand how risk allocation may impact compliance strategy
• Leverage data in VBE models, including the use of quality, utilization, and cost data to support value-based purposes
• Apply commercial reasonableness principles to value-based arrangements
  
• Identify opportunities to restructure existing arrangements (e.g., medical directorships, co-management, gainsharing, care coordination payments) into compliant VBEs
  

Speaker Information:

Joe Wolfe, Practice Group Leader, Hall, Render, Killian, Heath & Lyman, PC

Melissa Mora, Divisional Chief Legal Officer, AdventHealth

Cordell Mack, Managing Director, VMG

Luis Argueso, Partner, InHealth Advisors

Continuing Education: