# Specialty Care Integration Readiness: Is Fragmentation Destabilizing Your Contract Performance?

For health systems in value-based arrangements, specialty care is where financial exposure quietly accumulates: eroding RAF scores, driving avoidable utilization, and weakening your position at every contract renewal.

By Team Innovaccer  
March 11, 2026

For health systems in value-based arrangements, specialty care is where financial exposure quietly accumulates: eroding RAF scores, driving avoidable utilization, and weakening your position at every contract renewal. In a single year, one organization traced more than $10 million in losses to three structural failure points inside specialty workflows.

At Innovaccer's [Xccelerate 2026](/content/xccelerate-sessions/scaling-specialty-outcomes-through-connected-care/index.html), senior leaders from **Penn Medicine, Children's Mercy Health Network, and CareQuest Institute**, collectively managing 750,000+ risk-based lives, shared what they are doing to close the gap.

## What You'll Learn

- Where the **$10M+ in annual losses** are hiding inside **specialty care workflows**, and how to quantify your own exposure
- Why **data sharing and technology access** alone didn't move the needle, and what actually **changed outcomes**
- How one health system built **pay-for-performance agreements** directly with specialists to create **population-level accountability**
- The case for **medical-dental integration** and why oral health remains a largely overlooked gap in the care continuum, driving **$4 billion in avoidable ED costs** annually
- What **accountability infrastructure** looks like at organizations that have strengthened **payer contracts** and stabilized performance

**Download the whitepaper to understand what specialty fragmentation is costing organizations like yours.**

Topics [Specialty Care](/content/blogs?q=Specialty%20Care/index.html) [Risk Adjustment](/content/blogs?q=Risk%20Adjustment/index.html) [Value-Based Care](/content/blogs?q=Value-Based%20Care/index.html)