Analysis highlights lower costs and utilization, fewer readmissions and higher HCC recapture through an integrated population health strategy
DALLAS, Oct. 7, 2026 /PRNewswire/ — Lightbeam Health Solutions, a proven AI-enabled solutions and services leader helping healthcare organizations succeed in value-based care, today announced results from Primary Partners Alliance (PPA) population health strategy, which leverages Lightbeam’s platform to identify patient risk and care gaps, prioritize outreach, and support more coordinated care.
A one-year analysis of PPA’s Medicare Shared Savings Program (MSSP) and ACO REACH population found that patients that PPA successfully identified, engaged, and supported through a completion of an Annual Wellness Visit (AWV) consistently demonstrated better outcomes than those who did not complete an AWV. The findings reinforce PPA’s approach of using AWVs as an entry point to ongoing patient engagement and care management.
Key findings included:
Nearly $70 lower healthcare costs PMPM ($947 vs. $1,014)44% lower readmission rates (9% vs. 16%)Lower emergency department utilization (272/K vs. 286/K)Higher HCC recapture (70% vs. 57%)
PPA uses Lightbeam to support patient identification, population health analytics, outreach, and performance visibility, helping care teams identify risk, close care gaps, strengthen documentation, and connect patients with appropriate support. Alliance for Community Health, a nonprofit organization, also plays an important role in PPA’s strategy by assisting with population health management.
“Our goal is to give independent practices the visibility and support they need to succeed in value-based care while keeping the focus where it belongs—on the patient,” said Lisa Bloder, Executive Director of Population Health at Primary Partners of Florida. “When our providers have a clearer picture of their patients and the support to act on that information, they can focus more of their time on delivering high-quality care while building practices that can succeed for the long term.”
For PPA’s network of 251 providers, this initiative directly advances Primary Partners’ mission of making comprehensive, coordinated primary care more accessible. It empowers independent practices to thrive in value-based care by providing greater transparency, actionable insights, and the resources needed to remain strong, sustainable, and independent while delivering high-quality patient care.
“PPA demonstrates what’s possible when organizations turn population health insights into meaningful action,” said Melissa Tyler, Vice President of Advisory Services at Lightbeam Health Solutions. “Lower costs, fewer readmissions, reduced emergency department utilization, and stronger HCC recapture reflect the kind of performance value-based care organizations are working toward. PPA’s results show the impact of building a population health strategy that extends beyond a single patient encounter and supports continuous improvement across the organization.”
Read the full case study to learn how Primary Partners of Florida is using Lightbeam to support population health management and stronger value-based care performance.
About Primary Partners Alliance
Primary Partners Alliance (PPA) is a physician-owned and physician-governed healthcare organization dedicated to strengthening independent medical practices and improving patient health, affordability and accessibility of care. Through its integrated ACO, IPA, CIN and management services capabilities, PPA brings together more than 900 independent primary care physicians and specialists across 34 counties in Central Florida, representing approximately 750,000 patients.
PPA provides independent practices with the technology, actionable data, care-management resources, contracting infrastructure and administrative support needed to succeed in both value-based and traditional healthcare. By connecting high-performing independent physicians with health plans and other healthcare partners, PPA works to improve quality, coordinate care, reduce unnecessary healthcare costs and preserve patients’ access to independent community-based physicians.
PPA’s physician-led model has consistently demonstrated high levels of quality and cost-effective care while allowing participating physicians to maintain their clinical and practice independence. PPA serves as a collective voice for independent physicians and their patients and is committed to its mission of Better Health, Care Affordability and Accessing the Revenues Necessary to Do So.
To learn more about Primary Partners Alliance or becoming part of the PPA network, visit primarypartners.org.
About Alliance for Community Health (AFCH)
Founded in 2012 by a dedicated group of physicians, the Alliance for Community Health, a 501c 3 organization, embodies a steadfast commitment to ensuring equitable access to healthcare for all patients. Recognizing the critical need for connectivity to community services, our organization serves as a catalyst for collaboration among diverse partners. Rather than duplicating existing services, we focus on integrating and expanding resources through strategic partnerships. At the heart of our approach are Community Health Workers, pivotal figures in our mission for health equity. They play a crucial role in bridging gaps, connecting individuals with vital care and community resources. For us, health equity means empowering every individual with the tools necessary to lead healthy and productive lives. To learn more, please visit www.afchealth.org.
About Lightbeam Health Solutions
Lightbeam Health is a proven, AI-enabled platform, solutions, and services leader for population health management. Lightbeam’s AI-enabled population health platform arms payers and providers with the data-driven solutions and services they need to facilitate care orchestration and improve patient outcomes while finding success in all value-based arrangements. Lightbeam Health services ACO REACH, MSSP ACO, Medicare Advantage, traditional Medicare, Medicaid, and commercial populations across the country. For more information, visit www.lightbeamhealth.com and follow Lightbeam on LinkedIn.
Lightbeam Health Solutions Contact:
Amanda Hunt
media@lightbeamhealth.com
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SOURCE Lightbeam Health Solutions
