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Podcast -Why VBC Makes Healthcare More Expensive

TLDR: Value Based Care is a Risk Based Contract With Unintended Consequences

Description

Value-based care was designed to make healthcare cheaper and better. But in the last 15 years, it has done the exact opposite. This podcast explains how VBC is implemented in real life as risk-based contracts, leading to consolidation and, in turn, higher costs across the entire economy.

Chapter Markers

  • 00:00 - Intro

  • 00:25 - The Misdiagnosis

  • 01:45 - Value-Based Care: Background & Assumptions

  • 02:20 - The Game of VBC

  • 02:53 - What is a Budget/Benchmark under VBC?

  • 03:22 - Gaming the Benchmark

  • 04:13 - Impact on Small Practices

  • 05:29 - Quick Recap

  • 06:09 - Why Small Practices Matter

  • 06:33 - Consolidation

  • 07:39 - Types of Consolidation

  • 09:06 - 1 Contract vs TCOC

  • 10:29 - Effects of Consolidation

  • 13:00 - Medicare Advantage & Value-Based Care

  • 13:26 - VBC, Consolidation & Medicaid

  • 14:40 - Conclusion

  • 15:50 - The Question to Ponder?

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