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What is Value-Based Healthcare?

In 2006, Michael Porter published the book Redefining Health Care: Creating Value-Based Competition on Results, which set in motion the transition to a system of Value-Based Healthcare (VBHC). VBHC has since become a hot-button issue in the healthcare sector, with many organisations struggling with the question of where to start and how to make the value of healthcare even more transparent.


We use the definition proposed by Michael Porter:


Patient value by Michael Porter

Figure 1: Patient value. ©Vintura


Patient value is defined as patient-relevant outcomes, divided by the costs per patient across the full cycle of care in order to achieve these outcomes. Value-Based Healthcare focuses on maximising the value of care for patients and reducing the cost of healthcare.


Porter describes the transformation of the care to Value-Based Healthcare based on six interrelated elements. Here you will find a detailed explanation of the Porter model.


Porter’s value agenda and his six core elements indicate ‘what’ VBHC entails, but they say nothing about the ‘how’. Once VBHC is applied, managing the change will be an important final element. That is why change management must be included on Porter’s value agenda.

Value Based Healthcare system including change management. Vintura Consultancy

Figure 2: The value based system. Source: Michael E. Porter / HBR.  ©Vintura


Porter specifies what results VBHC should deliver, although the question remains how to put this into practice. The VBHC vision is based on an optimal situation, we believe that it is not possible to accomplish the optimal outcome in one go. A more realistic apporoach is to take a first step based on the existing situation. Each small step can add significant. Therefor Vintura has developed a model that provides guidance in the gradual implementation of VBHC.



We can help you and your organisation manage the transition to Value-Based Healthcare, from setting the VBHC strategy all the way through to implementation. We consider the value for your patient, your organisation and the expenses involved. You will find recent examples of Value-Based Healthcare projects here.


Schedule an appointment or contact Koen Jansen or Gérard Klop. Alternatively, you can also call us at +31 35 54 33 540.


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Koen Jansen Principal Consultant