| © 2026 Freed Associates, Inc. 14 California is not only expanding the reach of value-based care but also shaping how these models are tested and scaled nationwide. CalAIM Expansion: A $6 billion annual initiative that will move 90% of MediCal providers into risk-sharing models by 2027. California Advanced Primary Care Initiative: Unites multiple payers to pilot a blended payment model combining capitation, fee-for-service, and population health incentives. Statewide Data Exchange Framework (DxF): California’s first mandated health data-sharing system, creating a common foundation for coordinated value-based care (AB 133). By aligning public and private innovation, California is establishing itself as a national model for value-based transformation, demonstrating how coordinated payment reform, shared data, and population health incentives can drive measurable outcomes across systems. California Trends CONTACT AN EXPERT
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