Value-Based Health Care

Health care systems have a value problem, and the usual solutions—such as cost containment—are not solving it. For more than a decade, our value-based health care consulting experts have worked with health care innovators to help organizations develop cutting-edge value-based health care strategies in order to improve patient outcomes while maintaining or lowering total costs.

Health outcomes vary widely across hospitals, regions, and countries. And this holds true irrespective of the amount of money invested in the systems: those that spend the most money do not necessarily provide the best care. There is growing evidence that a substantial portion of health care spending is, quite simply, wasted on avoidable medical complications or medically unnecessary treatments.

To address these problems, industry leaders have begun to embrace value-based health care. Health systems around the world are systematically collecting, sharing, and analyzing health outcome data by disease group and population segment. By making this data standard and transparent, clinicians can benchmark and compare performance across care sites, document variations in health outcomes, identify best practices, and steer resources toward interventions and practices that have the highest value for patients. At BCG, we believe this value-based approach is the best way both to improve the quality of care and to curb excess health care spending.

By focusing on—and tracking—the health outcomes that matter most to patients, health care organizations achieve many benefits:

• Health systems deliver better outcomes more consistently.
• Innovative, value-adding treatments are identified and disseminated more rapidly.
• Total health care costs are controlled more effectively, because unnecessary procedures are eliminated, expensive complications occur less frequently, and repeat treatments are avoided.
• Clinical research is accelerated because evidence is generated more quickly, enabling faster development of improved clinical guidelines.
• Treatments are better matched to the needs and preferences of individual patients.

BCGはバリューベース・ヘルスケア関連の課題をどのように支援しているか

私たちは先駆的な組織と協働して、バリューベース・ヘルスケアに関するインサイトを見いだし、変革に向けた共通の課題への取り組みを推進しています。

• ICHOM (International Consortium for Health Outcomes Measurement)の共同設立。ICHOMのミッションは、患者にとって最も重要なアウトカム（治療結果）の一連の指標を定義し、ベストプラクティスの特定と普及をサポートすることにより、世界でバリューベース・ヘルスケアへの変革の触媒の役割を果たすことです。
• Global Coalition for Value in Health Care。2019年、世界経済フォーラム（WEF）はBCGと協働し、Global Coalition for Value in Healthcareを設立しました。これは世界中の医療システムでバリューベース・ヘルスケアへの移行を加速化するための、官民連携のコラボレーションです。学びを共有し、効果的なベストプラクティスを開発するとともに、全世界でバリューベース・ヘルスケアの開発を指導するためのグローバルなプラットフォームという役割を担います。
• MedTech Europe。BCGと、欧州の医療テクノロジーの業界団体であるMedTech Europeは、メドテック分野におけるバリューベースの調達に関する、継続的な協働体制を築きました。そこでは、主要な調達業者と協働して、ヘルスケア業界で契約を結ぶ当局が、好ましい品質と価格のバランスに基づく賢明な調達の意思決定ができるよう支援するフレームワークを開発します。