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Over the last 10 years, we’ve seen a rise in value-based care (VBC) programs. Although some have shown promise in enhancing quality or reducing costs, none have achieved comprehensive scale across payers, providers, and patients, nor have they been integrated across different care pathways. There’s a compelling opportunity to expand the benefits of these programs to a wider patient population. In the first article of this series, we identified 4 main challenges that health care organizations need to tackle to deliver effective value-based care at scale: (i) the missing patient; (ii) the quality illusion; (iii) the capacity shortage, and (iv) the complexity concern. In this article, we’ll take a deeper look at the complexity concern.