Value-based care is no longer theoretical—it’s happening now. Employers are actively directing patients to lower-cost, higher-quality settings, and regulators are accelerating the shift away from traditional fee-for-service models by encouraging providers to assume financial risk. This change requires ASCs and providers to compete on measurable value—clinical quality and patient experience relative to cost—not volume alone. Success in this environment depends on alignment across payers, employers, surgeons, and ASC operators around outcomes, risk, and transparency. As healthcare consumerism continues to grow, ASCs that adapt to this model will be best positioned to lead in a system where demonstrating true value is no longer optional.