Why Are Some Value-Based Programs Successful?

Abstract

In their study, "Association of Participation in a Value-Based Insurance Design Program with Health Care Spending and Utilization," Zhang and Cowling 1 examine the association between a publicly sponsored value-based program in California targeted at increasing use of value-based care and health care utilization and costs. The program reduced patient copayments from $35 to $10 when the patient chose a primary care physician; it halved their annual deductible when they completed 5Open Access. This is an open access article distributed under the terms of the CC-BY License.

Innovative providers’ payment models for promoting value-based health systems

“…Since the 1990s, many countries have adapted their legislation and policies to allow for more flexibility in payment models. Germany, for instance, implemented several legislative changes since the 2000s that fostered "more competition for care concepts between health insurances, more options for the insured and more leeway for players in the various sectors of healthcare" (Amelung, Hildebrandt and Wolf, 2012 [91]). This regulatory framework paved the way for the implementation of comprehensive capitation shared savings models like the one implemented in the Healthy Kinzigtal (Pimperl et al, 2017[92]).…”