Value-based healthcare

Value-based healthcare

Value-based healthcare: The optimal and sustainable balance between high quality of care, high quality of life, and containable costs.

In a value-based healthcare system:

  • Patients/clients remain as healthy as possible, to minimise the need for further healthcare assistance and to live normal, productive lives as long as possible
  • When healthcare remains needed, it services the needs and preferences of the patient/client
  • Healthcare is organised in such a way that it results in minimum value loss and maximum value gain for patients/clients, provider networks and society
  • The balance between high quality of care, high quality of life and containable costs is sustainably embedded, to create long-term value

Developments in healthcare

Most societies are witnessing an ageing population and an increase in lifestyle diseases such as obesity and diabetes. In addition, healthcare delivery improvements and scientific discoveries have turned previously lethal conditions into chronic illnesses.

Furthermore, doctors and other providers are no longer automatically seen as the persons who know what is best for the patient/client. The role of provider is becoming one of being a guide, who is leading patients and clients through their conditions. As patients are becoming more empowered, they play an active role in deciding what outcomes matter to them and what healthcare options help them to get there. In addition, patients and clients educate themselves and feel entitled to treatments that they feel would suit best.

All these factors contribute to a strong increase in healthcare demand, with more, longer, and more complex treatments. This leads to severe growth in healthcare expenditure.

 

Risk alert: the system could crash

On average, countries spend 10% of their GDP on healthcare. This is expected to rise to 30% by 2030. In this situation, broad accessibility of highly qualitative healthcare and high quality of life, is at risk. Either healthcare quality will decrease, it will only be available to the rich, or it does not meet the needs of individual consumers. Or a combination of these three. Action is needed.

 

Value-based healthcare as a solution?

Value-based healthcare focuses on patient/client outcomes in relation to the costs of achieving those outcomes.

Stakeholders each have their own perspectives on what this entails. And how they can contribute to the concept: Providers measure Patient Reported Outcome Measures (PROMs) to know how treatments influence quality of life. Consumers engage in shared decision making to choose the most appropriate treatments. Payers contract healthcare providers with the best outcomes versus cost ratio. Governments develop policies that support value-based healthcare. Life sciences experiment with value-for-performance models and first time right diagnostic tools. These are just a few examples.

All these activities are part of the value-based healthcare principle. However, they often do not correspond with each other, or are even inflictive.

At Value2Health, we choose an integrative approach. We strongly believe that value-based healthcare is a matter of balance and alignment of different stakeholder interests. In that sense, we predict a vertical integration where direct healthcare delivery, management & financing of healthcare and overall policies should add to one another.

At the same time, we foresee horizontal integration, where healthcare delivery is organised in cycle-of-care networks along patient journeys. This, as opposed to the currently frequently witnessed silos of individual providers.

Value-based healthcare is the optimal and sustainable balance between high quality of care, high quality of life, and containable costs.

To make value-based healthcare happen, healthcare systems will need to change:

To make this change happen and to drive value-based healthcare, Value2Health gives all stakeholders access to valid, trustworthy and relevant information, at the right level of analysis. In that way, all stakeholders, each in their own role, are able to make well-informed decisions that optimise the balance sustainably.

Let’s create value. Care to join?

Kind regards,

The Value2Health Team

Care
Our solutions help to pinpoint improvement areas, encourage shared decision making, empower patient monitoring, facilitate clinical trials and temporary studies, and gives insight into the value-for-money of care. Our tools facilitate trial participation.
Cure
Our solutions help to pinpoint improvement areas, encourage shared decision making, empower patient monitoring, facilitate clinical trials and temporary studies, and gives insight into the value-for-money of care.
Dental Health
Our solutions help to keep patient databases up-to-date and reduce no-shows. We help to automatically conduct experience and satisfaction surveys. We report managerial information on efficiency, performance and profitability.
Boards and management
Our solutions help to manage a sustainable value-based organisation and network. Our tools facilitate fair discussions with payers.
Financial departments
Our solutions help to establish constructive discussions between specialists and the financial department, as we combine clinical outcomes with costs.
ICT departments
Our SaaS solutions only need an Internet connection and can be used on any device. We can optionally connect with provider information systems, depending on the local context. We support all common formats and standards, including HL7 v3, cda, Fhir, SOAP and WSDL.

Our solutions

ValueBase: Insightful all-in-one solution to practice value-based health care.
We designed ValueBase to bring value-based healthcare to daily practice. Frequent dashboard updates pinpoint improvement areas in consumer outcomes & experiences, clinical quality and costs. It is used for benchmarking, shared decision making and consumer monitoring. Which modules can assist you?
How would you like to benefit from our experience?

Value2Health also services

Providers Providers
Providers and provider associations in cure, care and dental health understand the impact of treatments on patients/clients, clinical outcomes and costs compared to peers.
Payers Payers
Payers understand where and how they can get the value for money. Research shows that good outcomes and containable costs correlate.
Healthcare consumers Healthcare consumers
Consumers and consumer advocates understand that providers actively consider their needs and preferences. We empower meaningful freedom of choice.
Governments Governments
Governments manage healthcare accessibility, quality and expenditure.
Life sciences & research institutes Life sciences & research institutes
Life science firms and research institutes get access to valid, relevant, trustworthy information from real-life data, whilst complying to privacy & security regulations.