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Are there any negative impacts to the patients?

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The Value Based Care reimbursement model sounds great with it’s professed goal of higher care quality levels, lower costs, and a healthy claims reimbursement. Please view the video below using the link.
Value Based Care

Are there any concerns with the model? Evaluate if the VBC works as described and answer the questions below.
Is the VBC a panacea? Does it work? Why?
Are there any negative impacts to the patients?
What are realistic expectations for Value Based Care in terms of patient care? Why?
Why has it not been implemented everywhere?
What is needed to improve it?
Need specifics.

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