Value-Based Payment Models and the Quiet Threat to Independent Practice
A JAMA viewpoint argues that value-based payment models — despite their quality and cost-containment intentions — are inadvertently accelerating corporate consolidation of healthcare, placing independent practices at a structural disadvantage and raising serious questions for policymakers about the future of clinician-led care.
KEY FINDING
Value-based payment models disproportionately favour large, consolidated organisations with the capital, analytics, and scale to succeed under risk-based contracts — creating conditions that push independent practices toward corporate alignment or extinction.
