Oracle executive to PTAC: translate financial risk into funded operations and closed-loop workflows

Sep 15, 2026

Dr. Reena Ducasia of Oracle told PTAC that value-based payment requires visibility, named ownership of next actions, and systems that close care loops; she recommended linking measures to workflow and funding operating capacity, not just enrollment in value models.

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Dr. Reena Ducasia, a physician executive at Oracle, urged PTAC to demand operational capability as a precondition for successful value-based payment. "If an organization is accountable for the patient across 365 days then we must have the information, the responsibility, and the measurement have to work across those same 365 days," she said, arguing that financial accountability without funded operational capacity becomes "unfunded responsibility."

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