Value Based Healthcare (Wk 6)

Question 1

What is Value Based Care?

Answer 1

Value = Outcomes / (divided by) Cost

Question 2

What is value?

Answer 2

Health Outcomes per dollar

PROVIDER Value
Health System
Healthcare System
Provider-Institution
Provider-Team
Clinician

CUSTOMER Value
Community/Country
Resident
Patient

Question 3

National Initiatives to Enable Value Based Care

Answer 3

Beyond Healthcare to Health
Clinician Training/HMDPs
Healthcare facilities, Infection control, manpower development
Whole of Government - URA, HDB, SportsSG, etc

ACE Appropriate Care Guides; National Value Healthcare Workgroup Value Driven Outcomes; Full Acute Bundles; Capitation
ACE Technology Guidance
ACE Guidelines for insurance and other benefit plans
MOH Fee Guidelines or Schedules; MOH Audits

Question 4

National Trends towards value-based payment models (HINT: 4 stages)

Answer 4

1. Fee for Service (pay a specified amt for each service provided)
2. Pay for performance (incentives for achieving quality targets)
3. Bundled payments (single payment for clinically defined episodes of care)
4. Capitated payments (single payment -> manage pt across whole healthcare system)

Question 5

At the national level, what are some initiatives to manage cost & protect against loss of value?

Answer 5

Summary - National Level - National Agency for Core Effectiveness (ACE) & Value-Based Payment initiatives