In this conversation, Pranam Ben, founder and CEO of The Garage, shares his mission to build the operating system for value-based care. Drawing from a deeply personal story of frustration within the U.S. healthcare system, Pranam set out to design a platform that empowers better care.
We explore the difference between systems that track patients and those that actually know them, and how Pranam’s company now supports over 16 million patients and 26,000 providers across 48 states. He talks about the need for trust, transparency, and technology that supports, not replaces, the human elements of healthcare.
We also dive into the quintuple aim, the evolution of patient-centered care, and why a digital-first, data-first transformation is essential to sustaining medicine for future generations.
What I appreciated most is that Pranam doesn’t speak about market share or buzzwords, he talks about responsibility to people he’ll never meet, and about building tech that can prevent harm and restore connection at scale.
As he says, this is just the beginning.
Chapters
00:00 A Mission Bigger Than Code
01:43 Introduction to Pranam Ben
04:25 Vitals Check: Theme Songs & Leadership Lessons
06:30 From a Broken ER Visit to Building a Better System
11:17 Founding The Garage and the First ACOs
13:05 What It Means to Be the “Operating System for VBC”
15:23 Patient-Centered Tech: Knowing, Not Just Tracking
18:10 Avoiding 30,000 Hospitalizations: Real-World Impact
19:34 Redefining Value-Based Care Through the Quintuple Aim
21:35 The Role of Tech in Honoring Patient Autonomy
23:58 Designing for Trust, Transparency & Access
24:23 Why Pranam Is Bullish on the Future
28:40 A Call to Support Digital-First, Human-First Transformation
30:55 Final Reflections & What Gives Him Hope
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