Global Innovation Hub for Value in Healthcare

With a focus on putting value at the centre of health and care for the three million people in Wales, the Welsh Government in 2014 launched its value-based healthcare strategy called Prudent Healthcare, to create a healthier Wales. Since its implementation, it has made significant improvement in chronic and episodic diseases focusing on measuring outcomes that matters most to the people of Wales and creating a standard operating model to improving patient experiences, quality of care and outcomes.

One of Europe’s largest diabetes specialist centres dedicated to providing comprehensive and individualized care for children and adults with type 1 diabetes. Currently managing over 3,000 patients with round the clock care and access to services, Diabeter delivers diabetes care with a value-based healthcare model across its five clinics in the Netherlands. through personalized care to improve confidence in patients managing their condition for superior outcomes at better costs and improved overall well-being towards a complication free future.

As the first specialised diabetes hospital in Denmark, SDCC has produced results that have improved the prognosis for diabetes care, developing new integrated treatment, prevention methods and education that will benefit people with diabetes in Denmark and beyond. The SDCC initiative has reported significant impact to reductions in diabetes-related complications such as a decrease in diabetes-induced blindness to almost zero and leg amputations by 80%.

Driven by the need to improve care for individuals with cataracts, HCP formed a public-private partnership with 13 private and public ophthalmology centres in Portugal to implement value-based healthcare delivery model for cataract care. HCP is shifting the paradigm to deliver the best outcomes to about 11,400 cataract patients to date under the implementation of value-based care with 89% reporting significant improvement in their daily activities post treatment.

Center for the Advancement of Value in Musculoskeletal Care (US): Hospital for Special Surgery’s VBHC initiative delivers the highest quality musculoskeletal care in the most cost-effective way caring for over 150,000 patients and performing 35,000 surgeries annually. The Center develops and deploys high value musculoskeletal care solutions by pulling together unmatched clinical and operational expertise, data assets, and analytic skills. This ties back to principles for high value care: putting patients first, delivering evidence-based care, and managing long-term costs. Within value-based payment programs with of the Center with Medicare & Medicaid Services $23.9M was saved while treating 19,694 patients.

MomCare Program (The Netherlands) by PharmAccess is a digitalized care bundle initiative aimed to optimize maternal care in Kenya and Tanzania. They are addressing an urgent need: in Sub-Saharan Africa, 200,000 women die annually from preventable pregnancy complications. In MomCare, mother and healthcare provider agree on a predetermined maternal care journey and money is only distributed to providers once quality care is given. Thanks to analyzed data, health providers can mitigate pregnancy risks and improve their services. The MomCare model currently has 69 healthcare providers enrolled and supported 50,000 mothers.

Discovery Elective Arthroplasty Quality Program (South Africa) by Discovery Health is a fixed fee model launched by the private health insurer in 2018 serving more than 7,000 people each year needing hip or knee replacement surgery. Surgical teams review and action insights from annual data reporting on care outcomes. Patients have benefited from the model in 3 ways: better access to surgery across insurance plans, financial protection from personal expenses, and 30% lower readmission rates despite shorter lengths of stay in hospital. The model also enabled novel care pathways to launch including same-day discharge with home-based rehab.

‘Value Based Oral Health Care Initiative’ (Australia): Dental Health Services Victoria is the provider and funder of public dental services in Victoria reaching over 500,000 people each year implementing a co-designed value-based healthcare framework that results in the implementation of discrete projects to identify variation, measure costs and outcomes, improve patient experience, improve culture and capability, harness information technology and investigate outcomes-based funding models. Utilizing the principles of value-based care and taking a system wide approach, this initiative is improving the patient experience and outcomes that are important to patients.