Health Affairs June 16, 2023
An April 2023 article in the Health Affairs Forefront series on accountable care for population health by Paul Branstad and Claude Maechling (henceforth, “the authors”) charges that value-based care (VBC), as currently conceived, is doomed to fail due to the consolidation of corporate interests around a touted “$1 trillion prize.” We agree that consolidation is an ongoing concern in health care (as in many industries), that risk scoring is an insufficient terminal goal for value-based care, and that providers need to be in the driver’s seat of this next chapter of value if it is to succeed.
Nonetheless, we believe that the authors have overstated the relationship between certain trends and mistakenly diagnose symptoms limited to parts of the health...
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