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    <title>Policy on Paras Katyal</title>
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      <title>Value-Based Care: What It Actually Means and Why It&#39;s Taking So Long</title>
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      <pubDate>Fri, 13 Mar 2026 00:00:00 +0000</pubDate>
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      <description>&lt;p&gt;Few phrases in healthcare get used as confidently as &amp;ldquo;value-based care&amp;rdquo; — and few are as consistently under-explained.&lt;/p&gt;&#xA;&lt;p&gt;I&amp;rsquo;ve sat in enough rooms where smart people talk past each other about VBC that I wanted to write a clear version of what it actually means, why it&amp;rsquo;s compelling, and why the transition from the current model is so hard.&lt;/p&gt;&#xA;&lt;hr&gt;&#xA;&lt;h2 id=&#34;the-baseline-fee-for-service&#34;&gt;The Baseline: Fee-for-Service&lt;/h2&gt;&#xA;&lt;p&gt;To understand value-based care, you first need to understand what it&amp;rsquo;s replacing — or trying to replace.&lt;/p&gt;</description>
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