
← PCP Lens Podcast12 Mar · 14 min
Podcast - Good Intentions, Bankrupt Doctors
Description
Value-based care is supposed to save money, but for independent physicians, it's often a structural trap. Using a custom financial simulation model, I break down the mechanics of these contracts when well-meaning insurance companies try to help independent ACOs by funding the infrastructure costs. Discover how and why primary care physicians can go bankrupt even when they get “free money” under value-based care.
Chapter Markers
* 00:00 - Intro
* 00:48 - Step 1-3: Setting up ACO, Pot of Gold, and Reality Sets in
* 03:19 - Step 4: Insurance Company as Funder
* 05:54 - Step 5: Outcomes
* 10:01 - Step 6: Multi-Year Projection
* 10:24 - Step 7: Monte Carlo Simulation
* 12:27 - Final Thoughts
Link to Written Article
Link to Video