# BEST OF: Is Value-Based Payment Failing U.S. Healthcare? | Andrew Ryan Page: https://stenobird.com/podcast/health-affairs-this-week-3424387/is-value-based-payment-failing-u-s-healthcare-andrew-ryan Text version: https://stenobird.com/podcast/health-affairs-this-week-3424387/is-value-based-payment-failing-u-s-healthcare-andrew-ryan.md Podcast: [Health Affairs This Week](https://stenobird.com/podcast/health-affairs-this-week-3424387) Published: 2026-07-08T04:00:00+00:00 Episode link: https://share.transistor.fm/s/aeb78371 Audio file: https://media.transistor.fm/aeb78371/ce72bb90.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/health-affairs-this-week-3424387/episodes/is-value-based-payment-failing-u-s-healthcare-andrew-ryan Duration seconds: 1198 ## Resource This episode originally aired on February 27, 2026. Health Affairs’ Jeff Byers welcomes Brown University's Andrew Ryan to the pod to discuss his recent Forefront article that explores whether value-based payment and managed care can lead to addressing the core drivers of spending. Related Links: Value-Based Payment And Managed Care Will Not Solve The Affordability Crisis ( Health Affairs Forefront ) “All I Do Is Win”: Why Beating Benchmarks Doesn’t Mean That ACOs Are Reducing Costs ( Health Affairs Forefront ) ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/health-affairs-this-week-3424387/episodes/is-value-based-payment-failing-u-s-healthcare-andrew-ryan/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/health-affairs-this-week-3424387/is-value-based-payment-failing-u-s-healthcare-andrew-ryan.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.