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Op-ed: Stop saying value based. Start saying earned

September 14, 2026Peter Falkson

Fifteen years of value-based care panels. Walk any trade show floor and you'll hear it a dozen times before lunch. Yet nearly every dollar in HME still moves the way it always has: per unit shipped, per month rented, whether the patient got better, got worse, or ever took the equipment out of the box. I've stopped believing we're doing it wrong. I believe the structure of the payment system itself is the problem. "Value-based" describes how a payment is calculated. "Earned"...

earned care, fee-for-service, Medicare, payment models, Peter Falkson, Value-Based Care