The shift toward value-based care may be inevitable, but without equitable rules, it risks creating new inefficiencies, Nikhil Shetty, MD, said. Dr. Shetty, COO of Midwest Interventional Spine Specialists in Munster, Ind., spoke with Becker’s about what he wants to see in value-based care. But our government is moving toward a value-based care system. Q: Can you expand more on what you mean by making value-based care equitable? NS: Traditionally value-based care is linking reimbursement to outcomes and overall value, not just fee for service or the volume of services delivered.