Fixing the System: Making Value-Based Care Actually Work

Fixing the System: Making Value-Based Care Actually Work

From Flip your Script by American College of Lifestyle Medicine

April 29, 2026 · 33 min · Season 1 · Episode 32

About this episode

This episode discusses the challenges and potential of value-based care in healthcare systems with insights from Dr. Vivek Garg.

Welcome to another episode of Flip Your Script , a vodcast by the American College of Lifestyle Medicine, hosted by ACLM President Dr. Padmaja Patel. In each episode, we explore five key takeaways on how lifestyle medicine is helping clinicians and leaders reimagine the future of healthcare. This episode, “Fixing the System: Making Value-Based Care Actually Work,” features Dr. Vivek Garg, President and CEO of the National Committee for Quality Assurance (NCQA). With a background spanning clinical care, health policy, and value-based care innovation, Dr. Garg brings a uniquely comprehensive perspective on what it will take to redesign healthcare systems to better serve patients—and the clinicians who care for them. The conversation dives into why value-based care, while promising in theory, often falls short in practice. Dr. Garg explores the structural barriers—misaligned incentives, fragmented measurement systems, and lack of care continuity—that prevent meaningful progress. He also shares why simply adding more metrics isn’t the answer, and how shifting toward aligned, patient-centered outcomes could unlock real change. You’ll hear thoughtful insights on the importance of…

People in this episode

Host: Dr. Padmaja Patel

Guest: Dr. Vivek Garg

Topics covered

  • value-based care
  • healthcare systems
  • lifestyle medicine
  • chronic disease
  • patient-centered outcomes

Keywords

  • value-based care
  • healthcare
  • lifestyle medicine
  • chronic disease
  • patient outcomes

Mentioned in this episode

Organizations: American College of Lifestyle Medicine, National Committee for Quality Assurance

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