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Despite billions invested in value-based care, most U.S. healthcare organizations still measure success using outdated metrics. For decades, the system rewarded volume over value—prioritizing the number of procedures over the quality of outcomes. The shift to value-based care (VBC) was meant to change that, yet many organizations continue to rely on clinical efficiency indicators like readmission rates and infection rates. These measures, while important, fail to capture what truly matters: patient outcomes, experience, and long-term health impact.