In this episode, Dave Self talks with Jesse Arnoldson—founder of Value Care Group—about what it really takes to make value-based care work for independent practices. Drawing on his decade at MedMan and deep roots in rural Idaho, Jesse explains how small clinics can join forces to negotiate better contracts, improve patient outcomes, and stay independent in an increasingly consolidated healthcare market. From shared savings models to medical home initiatives, he offers a candid view of what’s broken, what’s working, and how grassroots collaboration can reshape the future of primary care.