Global adoption of value-based health care initiatives within health systems-A scoping review

Global adoption of value-based health care initiatives within health systems-A scoping review
JAMA Health Forum; by Ayooluwa O. Douglas, Senthujan Senkaiahliyan, Caroline A. Bulstra, Carol Mita, Che L. Reddy, Rifat Atun; 5/25
The value-based health care (VBHC) framework was introduced in the US in 2006 to combat rising health care expenditures that failed to produce improvements in patient quality, safety, and outcomes over the past decades. The framework focuses on 6 elements: (1) organizing care around medical conditions, (2) measuring outcomes and costs for every patient, (3) aligning reimbursement with value through bundled payments, (4) integrating care systems regionally, (5) establishing national centers of excellence for complex care, and (6) using information technology systems to support these elements. This scoping review of 50 initiatives found that the implementation of VBHC globally is still in its early stages, with published scientific literature pointing to small-scale institutional-level implementation within individual departments and hospitals. Large-scale implementation designed to develop high-value health systems is limited.