Advancing Value Assessment in the United States: A Multistakeholder Perspective

Area of Science:

• Health economics
• Health services research
• Health policy

Background:

• Healthcare costs are rising without proportional improvements in quality and outcomes.
• This has driven shifts in healthcare delivery and payment models towards achieving better value.
• Value assessment frameworks (VAFs) have emerged to aid decision-making for providers, patients, and payers.

Purpose of the Study:

• To evaluate current value assessment frameworks from a multistakeholder perspective.
• To identify key limitations and opportunities for improvement in VAFs.
• To propose guiding principles for future iterations and emerging initiatives.

Main Methods:

• Multistakeholder analysis of existing value assessment frameworks.
• Identification of limitations, opportunities, and areas for improvement.
• Development of 10 fundamental guiding principles and strategies.

Main Results:

• Current VAFs have limitations but offer opportunities for enhancement.
• 10 guiding principles and strategies are proposed for advancing VAFs.
• Common elements and next steps can support improved value assessment.

Conclusions:

• Value assessment frameworks are crucial for aligning healthcare delivery with value.
• Ongoing evaluation and adaptation of VAFs are necessary.
• Implementing proposed principles can advance value assessment in the US healthcare system.