Value-based Healthcare

At its core, VBHC is about improving health outcomes for patients. The ‘value’ is derived from ensuring that patients receive the best outcome from the healthcare they receive, while doing so at the most reasonable cost. The VBHC model utilises a team-based approach that is centered around patient care, allowing for more coordinated care and outcomes that can be measured more easily. The VBHC model differs from common fee-for-service model, in which healthcare providers are compensated based on the number of services or procedures delivered, by focusing on quality and not quantity.

 
 
 
 
 
 
 

CASE STUDIES

  • OrthoChoice: Outcome based compensation system for specialised care in Sweden

    OrthoChoice bundles costs for hip and knee replacements, with patients paying a total of 3% of fee, depending on achievement of predefined outcome quality goals. Results showed that complication rates fell by almost 40% over the 2 years after OrthoChoice introduction and per‐patient costs were reduced by 17% due to lower payments to providers.

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  • Narayana Health: Utilizing methodologies to optimize operations and value in India

    The Narayana Health model was implemented in India, and by leveraging economies of scale, using assembly line concepts for surgery and reducing the average length of stay, was able to half the cost of surgery at its specialist cardiac centres. In addition, implementation of the model reduced 30-day mortality rates to 1·4%, compared with 1·9% in the USA.

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The gap

  • Non-communicable diseases (NCDs), including cancers, are now the number one cause of death worldwide

  • Surgical care is the foundation of the treatment options for most NCDs, yet five billion people do not have access to emergency and essential surgical care

  • In 2018 alone, Cervical Cancer claimed the lives of more than 300,000 women worldwide

  • In 2020, 685,000 women died due to Breast Cancer

The solution

Shaping local healthcare for universal health coverage - A platform to accelerate towards VBHC

Our platform aims to:

  • Facilitate locally-led initiatives that will promote and advance the implementation of VBHC models and policy development towards VBHC and related health system

  • Be led by frontline implementers and developed in close collaboration with the Ministry of Health, academic leaders and institutions industry, civil society, and of course, patients

  • Focus proof of concepts on Breast and Cervical Cancer

 

Initially, we focus on two countries.