PCP Lens Podcast

Podcast -Why VBC Makes Healthcare More Expensive

May 7, 2026·16 min
Episode Description from the Publisher

DescriptionValue-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?Link to Written Article Link to VideoSubscribe to my YouTube Channel Please see the Disclaimer on the PCPLens "About" Page. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.pcplens.com

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