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Value-Based Care as Integrated Care
Seems like the pendulum has swung in value based care
V1: primary care practices take on financial risk with specialists e-consults and focus on thorough documentation and reducing downstream utilization altogether
V2: specialist groups take on financial risk with primary care wraparounds f... See more
Nikhil Krishnanx.com
Those are promising signs. On the other hand, the fundamental economics of the value-based arrangement still aren’t clear. If fee-for-service turns out to more profitable for both payer and provider, then value-based care won’t survive outside of Medicare Advantage. And there have been failures in the past, as cited above.