Mid-Atlantic Permanente Drives Value-Based Care with Data and Technology

Mid-Atlantic Permanente Medical Group (MAPMG), serving nearly 800,000 Kaiser Permanente members across Washington, D.C., Maryland, and Virginia, employs technology as the core driver for a coordinated, data-driven value-based care model. In this fully capitated system, improving healthcare outcomes while reducing costs are prioritized simultaneously, leveraging reliable, clinically relevant data vetted by care providers. MAPMG's value equation balances high-quality patient outcomes and experience against total cost of care, supporting sustainable performance within their capitated payment framework. A critical success factor is the collaborative development and validation of performance metrics and dashboards by clinicians, ensuring the operational relevance and credibility of the data. This approach transforms data from a punitive tool into an instrument for continuous improvement with an emphasis on the trajectory of performance rather than static scores. MAPMG integrates remote monitoring programs for chronic conditions such as diabetes and hypertension into clinical workflows via accessible electronic health record (EHR) systems to enhance care coordination and minimize clinician burden. Their strategy encourages frontline innovation with permission to experiment and 'fail fast,' while oversight bodies disseminate best practices to drive system-wide learning. Leading innovations include the use of augmented intelligence (AI) and machine learning in diagnostics, documentation, and patient communication, aiming to improve quality, safety, and physician work-life balance. MAPMG's leadership approach underscores the importance of facilitating data flow to address relevant operational issues but advocates that solutions originate from frontline providers rather than top-down directives. Overall, MAPMG exemplifies how integrating trusted data and advanced technology in value-based care can lead to better patient outcomes, lower costs, and reduced provider burnout, positioning them as a model for health systems pursuing sustainable, value-driven transformation.