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Design, implementation and evaluation of value-based payment models: a Delphi study.

Diogo L L Leao1, Lise A M Moers2, Henricus-Paul Cremers3

  • 1Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, CAHPRI, Maastricht University Medical Center, Maastricht University, P.O. Box 616, Maastricht, 6200 MD, the Netherlands. d.lopesleao@maastrichtuniversity.nl.

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Summary
This summary is machine-generated.

Successful value-based payment models for integrated care require clear communication, trust, and stakeholder engagement. These factors, alongside data systems, are crucial for effective implementation and achieving high-quality, cost-efficient healthcare.

Keywords:
Alternative payment modelsPayment reformValueValue-based healthcareValue-based payment models

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Area of Science:

  • Healthcare Management
  • Health Services Research
  • Health Economics

Background:

  • Value-based payment models are increasingly adopted in integrated care systems.
  • Understanding factors influencing their design, implementation, and evaluation is critical.
  • Expert consensus is needed to identify key facilitators and inhibitors.

Purpose of the Study:

  • To identify and achieve consensus on facilitating and inhibiting factors for value-based payment models in integrated care.
  • To explore these factors across the lifecycle of model development, implementation, and evaluation.

Main Methods:

  • A three-round Delphi study involving a panel of 15 international experts.
  • Compilation of 40 potential facilitators and 40 inhibitors from expert input and literature review.
  • Rating of factor importance using a 5-point Likert scale to achieve consensus.

Main Results:

  • Full consensus was reached on eight facilitating factors, including transparency, communication, and trust.
  • Full consensus was also reached on seven inhibiting factors, such as lack of stakeholder motivation and engagement.
  • Timely data availability and integrated IT systems for data registration achieved very high agreement, indicating strong consensus on their importance.

Conclusions:

  • Effective value-based payment models necessitate robust outcome measures, targets, benchmarks, and incentives.
  • Qualitative factors like strong leadership, transparency, communication, trust, and stakeholder engagement are vital for successful adoption.
  • These elements collectively contribute to promoting high-quality care while managing or reducing costs.