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What if healthcare rewarded better outcomes—not more procedures? Value-based care is reshaping how health centers provide care nationwide. But what does this shift really mean for patients and providers—and why should even privately insured individuals care? In this episode, we talk with Dr. DaShawn Groves, Commissioner of the Department of Vermont Health Access, who has been driving value-based care in action. We explore the challenges, opportunities, and real-world impact of this model on people’s lives. Join us for a clear look at the future of care delivery—and what’s at stake. 00:00:00 - Introduction & Welcome 00:01:44 - Value-Based Care 101: The "Broken Car" Metaphor 00:06:54 - Why Health Centers are the Backbone of Value-Based Care 00:09:47 - Three Key Implementation Challenges: Infrastructure, Sustainability, & Patients 00:15:19 - Navigating Federal Funding Changes & Budget Constraints 00:19:11 - Can Health Centers Take on Risk? (PPS vs. APM) 00:23:09 - Innovation in Action: Clinically Integrated Networks 00:25:21 - Common Misconceptions: State Medicaid vs. Health Centers 00:30:04 - A Value-Based Care Success Story: Improving Chronic Disease Outcomes 00:32:06 - Barriers for Providers: Administrative Burden vs. Support 00:37:06 - Preparing for HR1 & Protecting Patient Coverage 00:42:07 - The Rural Health Transformation Fund & Breaking Down Silos 00:47:35 - Closing Thoughts & Future Outlook