NEJM November 10, 2020
Christer Mjåset, MD, BA, Umar Ikram, MD, MPH, PhD, Navraj S. Nagra, MD, PhD, MS & Thomas W. Feeley, MD

An analysis of the systems in Massachusetts (USA), the Netherlands, Norway, and England (UK) reveals structural differences and variation in emphasis on programs used to effect value in care delivery. The degree of development of 6 strategic elements of a value-based model across health care systems provides insights on what policymakers and providers can do to speed up its implementation.

Summary

Health care systems across the world have increasingly embraced a value-based health care (VBHC) agenda. They do so for different reasons, using different foundations, and variations on the tools and tactics to effect their strategic goals. The role of governments, providers, and private payers varies,...

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