The Tactics of Making Value-Based Care Work

I think the health system of the future is going to be more about primary care and less about big hospital buildings. I'm a strong believer that we want strong physician-led medical groups. But again, it takes leadership of boards and management teams to make that shift. The number one failing of health policy over the last 30 years has been the lack of antitrust enforcement in US healthcare. We've turned doctors from owners of their own practices to employees of large corporations. And how many people feel like they can actually accomplish things? It's interesting because you took a group of people who are trained to be independent actors on behalf of their patients. That's why everyone talks about position burnout around them