An All-Patient Solution for Managed Medicaid with Josh Vire
Thu Nov 20 2025
In this episode we revisit our conversation with Josh Vire, Vice President of Value-based Operations at CHESS Health Solutions, where he talks about North Carolina’s move to managed Medicaid and the work CHESS put into building a complete all-patient solution.
Josh explains what managed Medicaid is, how AMH tiers operate, and the real-world hurdles practices face when entering this space. He also outlines the three core services CHESS offers, the population health tools behind them, and the engagement options available for groups seeking support. Josh closes with practical advice for practices preparing for managed Medicaid or value-based care in general. A clear, useful conversation for anyone navigating Medicaid transformation or working to improve care delivery in North Carolina.
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In this episode we revisit our conversation with Josh Vire, Vice President of Value-based Operations at CHESS Health Solutions, where he talks about North Carolina’s move to managed Medicaid and the work CHESS put into building a complete all-patient solution. Josh explains what managed Medicaid is, how AMH tiers operate, and the real-world hurdles practices face when entering this space. He also outlines the three core services CHESS offers, the population health tools behind them, and the engagement options available for groups seeking support. Josh closes with practical advice for practices preparing for managed Medicaid or value-based care in general. A clear, useful conversation for anyone navigating Medicaid transformation or working to improve care delivery in North Carolina.