PERSPECTIVES
Perspectives
Commentary and analysis on the people, policies, and ideas shaping value-based care.
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July 13, 2026 · 6 min read
Accountable Care Keeps Widening. Growth Is the Easy Part.
More Medicare beneficiaries are in accountable care organizations than ever before. Participation is the metric that gets reported, but it is not the metric that matters most.
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July 7, 2026 · 7 min read
Medicare Is Betting on Prevention. Is That the Same as Value?
A new demonstration puts popular weight-loss drugs within reach of millions of Medicare beneficiaries for $50 a month. Whether that counts as value-based care depends on questions the program was built to answer.
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June 28, 2026 · 6 min read
Does Value-Based Care Need More Models, or Better-Aligned Ones?
MedPAC's June report steps back from launching new programs to ask whether Medicare's existing payment incentives even point the same way. After fifteen years, that may be the more important question.
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June 25, 2026 · 8 min read
After Fifteen Years, Is Value-Based Care Succeeding?
The movement to pay for value rather than volume has reshaped contracts and vocabulary across U.S. healthcare. Whether it has reshaped results is a harder question.
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June 22, 2026 · 5 min read
What We Mean When We Say 'Value'
Value-based care is one of the most-used and least-defined phrases in healthcare. Here is how we use it, and why the definition matters.
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