# #533 - Why technology alone can't fix value-based care | Tim Elliott (CEO, Navvis) Page: https://stenobird.com/podcast/slice-of-healthcare-676665/533-why-technology-alone-can-t-fix-value-based-care-tim-elliott-ceo-navvis Text version: https://stenobird.com/podcast/slice-of-healthcare-676665/533-why-technology-alone-can-t-fix-value-based-care-tim-elliott-ceo-navvis.md Podcast: [Slice of Healthcare](https://stenobird.com/podcast/slice-of-healthcare-676665) Published: 2026-05-21T15:49:20+00:00 Episode link: https://share.transistor.fm/s/d32c8be3 Audio file: https://media.transistor.fm/d32c8be3/cfcf2841.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/slice-of-healthcare-676665/episodes/533-why-technology-alone-can-t-fix-value-based-care-tim-elliott-ceo-navvis Duration seconds: 956 ## Resource Tim Elliott is the CEO of Navvis, a value-based enablement company that works with health systems, health plans, physician groups, and employers to drive performance under value-based agreements. Navvis takes a cross-continuum view of care — supporting patients before, during, and after the physician visit — and operates across the full spectrum of payment models, from full-risk MA and MSSP ACOs to bundled payments, TEAMS, and CJR. Tim's core conviction is that physicians are the linchpin of any sustainable change in value-based care, and that the "last mile" of transformation is change management — not technology. Navvis doesn't show up with a blank piece of paper or a mandatory platform; they bring a point of view on what world-class looks like and engage physicians in the refinement and rollout. We discuss: What AI consistently misses in value-based care — and why "human in the loop" needs to be on steroids in healthcare, not just a check on the model How to recognize when a health system is rolling tools out faster than clinicians can absorb them — and why bottom-up physician demand is reshaping the AI rollout playbook The real difference between a care model physicians co-designed and one that was handed to them — and how Navvis approaches refinement vs. a blank-paper exercise What surprises health systems most when they move into real downside risk for the first time — the misalignment between contract incentives and operational behavior Why "two standards of care" is the wrong frame for value-based vs. fee-for-service patients — and what the EMR needs to recognize at the point of encounter The alignment problem at the executive and physician level that quietly kills downside-risk contracts before the year is out The lesson Tim hopes the industry finally learns 2… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/slice-of-healthcare-676665/episodes/533-why-technology-alone-can-t-fix-value-based-care-tim-elliott-ceo-navvis/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/slice-of-healthcare-676665/533-why-technology-alone-can-t-fix-value-based-care-tim-elliott-ceo-navvis.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.