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Don Calcagno

Podcast 207: What’s Holding Back Value-Based Care? w/ Don Calcagno, Founder, ValuesEdge

May 29, 2026

Episode Summary

Value-based care has been the defining promise of health care reform for two decades. Yet new evidence still takes an average of 17 years to reach standard clinical practice, payers and providers remain structurally misaligned, and most VBC models still prioritize payment mechanics over actual patient outcomes. Don Calcagno, Founder of ValuesEdge and former Chief Population Health Officer at Advocate Health, joins host John Marchica to talk about why value-based care is still in the early innings despite years of promise, and how closing the structural gap between payers and providers is the real unlock that the industry keeps avoiding.

Episode Notes

Value-based care has been the defining promise of health care reform for two decades. Yet new evidence still takes an average of 17 years to reach standard clinical practice, payers and providers remain structurally misaligned, and most VBC models still prioritize payment mechanics over actual patient outcomes.

Don Calcagno, Founder of ValuesEdge and former Chief Population Health Officer at Advocate Health, joins host John Marchica to talk about why value-based care is still in the early innings despite years of promise, and how closing the structural gap between payers and providers is the real unlock that the industry keeps avoiding.

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🎙 ABOUT DON CALCAGNO
Don has 30 years of experience across population health, managed care, operations, clinical integration, accountable care, laboratory sciences, process improvement, analytics and research. He started his career at Lutheran General Hospital in 1992, with a brief stint at AT&T. He serves on the boards of the Devoted Health joint venture and Medicare Shared Savings ACO. Don also leads the Leadership Institute’s Value-Based Care/Population Health forum. A former lab tech, he is a senior operating fellow of the Health Management Academy and a past fellow of the American College of Healthcare Executives.

Calcagno earned his Bachelor of Science in medical technology from Purdue University in West Lafayette, IN. He also has a Master of Business Administration from the Kellogg Graduate School of Management at Northwestern University.

🎙 ABOUT HEALTH CARE ROUNDS
Health Care Rounds is a weekly podcast developed for health care leaders who are at the forefront of health care delivery and payment reform. Join Darwin Research Group founder and CEO John Marchica as he discusses the latest advancements in health care business news and policy developments.

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