Global foundation launches value-based healthcare pilots

 

The World Economic Forum, with business partners, plans pilot programmes this year to show how value based healthcare could track and pay for treatment based on how well it works rather than the volume of care. It is in response to rising costs and dissatisfactory patient outcomes.

The model will be implemented in four pilot markets in 2017.The first pilot, being set up in Atlanta, Georgia, will focus on treating heart failure.

To put its recommendations in practice, the Value in Healthcare project has begun working with 20 payer, provider, supplier and government organizations in the US state of Georgia on a pilot project to create a comprehensive value-based approach to heart failure in the Atlanta metropolitan area.

Over the next several months, the Atlanta working group will design a roadmap for implementing value-based health care for patients with heart failure, and will then put their work to the test, and see real examples of how value-based health care can affect outcomes.

Atlanta has a bold vision: to become a national leader in heart-failure survival in the United States while improving the quality of life and reducing the cost of care.

In addition to the Atlanta project, three more regional pilots will be conducted in 2017 in the Netherlands, Singapore and the People’s Republic of China.

The recommendations are presented in a new World Economic Forum report, 'Value in Healthcare: Laying the Foundation for Health-System Transformation', in collaboration with Boston Consulting Group.

The report suggests three foundational principles to provide the basis for value-based care:

  • Measuring outcomes and costs, i.e. the systematic measurement of the health outcomes that matter to patients and the costs required to deliver them across the full cycle of care
  • Focusing on population segments that are clearly defined, and the health outcomes and costs associated with them
  • Customizing segment specific interventions, developed to improve value for each population segment

Four key enablers of value in healthcare support and facilitate the reorientation of health systems around these three principles:

  • Informatics – including shared standards and new capabilities that enable the routine collection, sharing and analysis of outcome data and other relevant information for each population segment
  • Benchmarking, research and tools – including systematic benchmarking for continuous improvement; identification of variations in responses to treatment and of emerging clinical best practices; new data sources for research and innovation, and new approaches to clinical trials; and the development of sophisticated decision support tools for clinicians and patients
  • Payments – including new forms of compensation and reimbursement that help to improve patient value
  • Delivery – including new roles and organisational models that allow providers and suppliers to adapt to new opportunities and innovations, provide better access to appropriate care and engage clinicians in continuous improvement.

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