Healthmonix Advisor

The 80% problem: Why value-based care will be won in specialty

Posted by Lauren Patrick on June 1, 2026

For roughly a decade, the operating assumption of value-based care has been that you transform outcomes and costs by transforming primary care:

Attribute the patient to a PCP
Hand the PCP a panel and a risk arrangement
Give the care team a gap list
Let the rest of the system carry on 

That model has produced real wins. It’s also produced a generation of risk-bearing organizations that have squeezed most of what they can out of the levers a primary care physician controls and now find themselves staring at the part of the spend they don’t.

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Topics: CMS, VBC, Value-Based Care, Conference, APG

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