In this episode of the Permanente Medicine Podcast, Chris Grant speaks with Ameya Kulkarni, MD, executive medical director of the Mid-Atlantic Permanente Medical Group, about the future of physician-led, value-based care. The conversation explores how integrated care models can improve access, affordability, quality, and patient trust while reducing friction for both patients and physicians. Dr. Kulkarni also shares insights on physician well-being, meaningful work in medicine, and why rebuilding trust may be one of the most important investments in the future of health care.