McKnight's June 4, 2025
Eugene Gonsiorek

“Value-based care” (VBC) is one of the most frequently cited goals in U.S. healthcare reform — yet its meaning remains frustratingly vague and often contradictory. We hear that value-based care is the future. But as we navigate payment reforms, new quality programs, and evolving care models, we’re forced to ask: Whose definition of “value” are we using?

In long-term care, the consequences of this ambiguity are real. Skilled nursing facilities, assisted living communities, payers, hospitals and patients are all impacted by how “value” is interpreted and rewarded — or not.

No shared definition of ‘value’

Depending on your role in the healthcare ecosystem, the word “value” can mean very different things:

  • To providers, value often means improving patient outcomes...

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