EUROPE, MIDDLE EAST and AFRICA REGION — Case Studies ALIGNING VALUE
Integrating value-based healthcare: Germany’s Gesundes Kinzigtal
Southwestern Germany’s regional healthcare system adopted a “Triple Aim” approach to value-based care goals: improve the experience of care, improve the health of populations and reduce per capita healthcare costs. These measures help address the challenges of caring for an aging population in a country where stagnant population growth has reduced the number of workers paying into the healthcare system.
Ireland: The system shows few signs of having a value-based healthcare model
Ireland’s healthcare system has gone through several shifts, including investment during the economic boom and cutbacks during the recession. The country’s system has not applied a value-based model yet, but some efforts have been made to monitor clinical effectiveness, costs and health information. The National Cancer Registry and the Irish Prostate Cancer Outcome Research programs track data on patients’ quality of life and clinical findings.
Rwanda: A success story of a value-based collaboration
Rwanda’s focus on value-based health service delivery has enabled the country to become one of the few African nations to meet the Millennium Development Goals of combating communicable diseases such as malaria and HIV/AIDS, and reducing maternal and child mortality. This was done in partnership with Partners In Health and the government of Rwanda. Decentralizing management and developing community-based health insurance has helped the country efficiently utilize scarce financial resources to improve the health of its citizens.
United Kingdom: Offering value-based healthcare amid financial pressures
The UK’s National Health Service (NHS) provides free care at the point of service for residents of England, Scotland, Wales and Northern Ireland. As part of having a value-based model, the NHS Right Care program was introduced in 2009 with the goal of reducing variations in health outcomes around the country. But with some hospitals running deficits, the system needs further efficiency improvements.
Aneurin Bevan University Health Board, Wales: Putting value-based care into practice
Wales, which participates in the UK’s National Health Service, started the Prudent Healthcare policy in 2014, to address the needs of an aging population and improve sustainability while keeping costs down.