Rethinking Risk Adjustment and Payer Provider Alignment in Value-Based Care

Rethinking Risk Adjustment and Payer Provider Alignment in Value-Based Care

From Becker’s Payer Issues Podcast by Becker's Healthcare

June 3, 2026 · 18 min

About this episode

Carey Ketelsen discusses transforming risk adjustment and enhancing payer-provider collaboration in value-based care.

In this episode, Carey Ketelsen, President of Virtix Health, joins the podcast to discuss how healthcare organizations are transforming risk adjustment through prospective outreach, AI-enabled workflows, and stronger payer-provider collaboration. She shares insights on improving documentation integrity, aligning incentives, and building patient-centered risk adjustment programs that support long-term success in value-based care.

People in this episode

Guest: Carey Ketelsen

Topics covered

  • risk adjustment
  • payer-provider alignment
  • value-based care
  • healthcare transformation
  • AI workflows

Keywords

  • risk adjustment
  • payer-provider collaboration
  • value-based care
  • AI workflows
  • documentation integrity

Mentioned in this episode

Organizations: Virtix Health

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