Value-based healthcare (VBHC) shifts focus from volume to outcomes, with risk assessment at its core. Yet, current models often incentivize labeling patients as high-risk without ensuring better care, driving up costs without improving quality. This whitepaper outlines a new VBHC framework that links provider compensation to delivering proven, high-quality care for high-risk patients. Emphasizing prevention, coordinated care for multimorbid patients, and AI-driven tools, the model aims to control costs, enhance provider rewards, and improve outcomes without adding burden.