There are doubts about whether value-based care can accomplish its lofty goals, especially if it requires new levels of bureaucracy and, therefore, adds costs to an expensive health system with plenty of red tape as it stands. Concerns about potential discrimination against old and sick patients, whose health care is more expensive, remain unaddressed. Elsewhere, public and private attempts at bringing down U.S. health costs have faltered for decades, which could well be value-based care’s largest problem.
The delivery of modern health care depends on groups of trained professionals and paraprofessionals coming together as interdisciplinary teams. This includes professionals in medicine, psychology, physiotherapy, nursing, dentistry, midwifery and allied health, along with many others such as public health practitioners, community health workers and assistive personnel, who systematically provide personal and population-based preventive, curative and rehabilitative care services.
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