Value based care is a way that insurers agree to compensate providers for their services, in which the provider takes on some financial risk, and receives some financial upside in return.

- Be cost-conscious. Care is getting wildly expensive. Primary Care 3.0 should use data to recommend the least expensive way to diagnose and treat, and manage over time 95% of general health issues.

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.

Insurance companies move too slowly to incorporate healthcare service innovations....Lower cost catastrophic insurance + Primary Care 3.0 will be the most cost-effective way to solve health problems.