A Compass for Collaboration: Navigating Stakeholders’ Roles in Transitioning To Value-Based Healthcare

A report by the European Alliance for Value in Health, which aims to offer clarity on the roles and contributions which can be taken by stakeholders to accelerate the journey towards developing value-based health systems.

Numerous health systems are currently supporting the move towards value-based healthcare (VBHC). However, the implementation of VBHC is fragmented and on many occasions confined to localised pilot programs, operating alongside traditional approaches, rather than as a systematic widespread change of practice and culture.

The Alliance see that there are 2 challenges to overcome, to achieve our Vision of value-based, sustainable and people-centred health systems:

1. Different interpretations and usage of terms can lead to misalignment between stakeholders
   To address this and create a common language for value-based healthcare (VBHC) terms, the Alliance developed a VBHC Taxonomy in 2022.
2. The shift to VBHC requires a collective effort, spanning the entire patient pathway and engaging all healthcare stakeholders
   For effective collaboration, stakeholders need to be clear on their roles and other stakeholders’ roles in transitioning to VBHC

This report aims to address point 2 above; offering a compass to support the journey in transitioning to VBHC. By building on the VBHC Taxonomy, and by dissecting the responsibilities and expectations of each stakeholder group, we aim to foster a shared understanding across stakeholders.

Given the complexity of health systems and challenges in implementing VBHC, this report does not provide tailored guidance for each health system in Europe, but aims to guide the on-going collaboration needed between stakeholders at national and regional level, and support the direction of travel.

Holistically, we need to understand each other's perspectives and the unique ability to ensure the successful transition to VBHC. Increased understanding builds trust, which is the mortar of collaboration!

• Authors:
  • Rebecca Steele (Vintura)
  • Casper Paardekooper (Vintura)
  • Michele Calabrò (EUREGHA)
  • Hans Bax (MedTech Europe)
  • Thomas Allvin (EFPIA)
  • George Valiotis (European Health Management Association)
  • Hamish Laing (Value-Based Health and Care Academy, Swansea University)
  • Valentina Strammiello (European Patients’ Forum)
  • Neo Tapela (ICHOM)

Acknowledgements:
We would like to thank all Partners, Affiliated Organisations, related member organisations and VBHC Experts which have been involved in the development this initiative. Their time, support and enthusiastic engagement at our brainstorming workshop has been invaluable for defining and refining the stakeholder roles.