At a recent Summit on the Future of Value-Based Care (VBC) and Risk Contracting, more than 150 payer executives, provider leaders, policy influencers, and digital health innovators gathered to discuss the operational realities of managing risk. While the attendees represented organizations deeply committed to value-based care, their conversations revealed concern that the industry’s ambition for aligning financial returns to better patient outcomes is advancing faster than the infrastructure that supports that goal.