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Rewarding outcome: David McGarry, value based healthcare lead at Roche Ireland, reflects on the need for transformation towards patient centric care

by | Jul 12, 2022

What is Value Based Healthcare and why is there a need for change within healthcare?

Health systems are facing unprecedented challenges in rising costs and ageing populations. Solutions to date have been largely incremental and have not slowed the growth of healthcare spending. Value Based Healthcare offers one potential solution. The core tenets of Value Based Healthcare revolve around the idea of aligning all stakeholders of a health system towards value delivered to patients.

It is a patient centred approach that rewards and focuses on improving outcomes that matter most to patients in relation to the cost of care. Today healthcare systems most often reward the number of procedures carried out rather than the outcomes for patients. There can be a substantial disconnect between the money spent and the health outcomes that matter to patients delivered.

One of the things that you often hear about from industry is that the key to implementing VBHC lies in collaboration and partnerships. What does that mean?

VBHC brings value for all healthcare system stakeholders and it presents a unique opportunity for industry to strengthen collaborations with healthcare systems around a joint vision of improving patient outcomes and system efficiency. By working with all stakeholders – including physicians, payers, providers, patients, industry partners, policymakers and governmental healthcare bodies – the adoption of VBHC can lead to a more locally and globally sustainable and healthier population that stands to benefit all parties.

With VBHC in place patients and their families can access high quality healthcare resources and see improvements in outcomes that matter most to them. Healthcare providers can guide treatment with better evidence, leading to more efficient care and greater patient and HCP satisfaction. Payers can re-prioritise resources and achieve better outcomes for every Euro spent by reducing low value care.

For this transformation towards patient centric care to happen, how do you propose leaders, stakeholders, and other parties start to implement and move towards VBHC?

The first step is to define the unmet need and the gaps, and the health outcomes that matter most to patients. Then reward these outcomes achieved and not the inputs or the compliance as we mostly do today. And when you redirect your focus to health outcomes, it will influence your culture.

Because to be able to close the gap of the unmet need and deliver the health  outcomes that matter most to patients,
you will find new ways of working together, in a much more integrated and solutions oriented manner. At Roche our goal is to be a transformational enabler of healthcare systems moving towards value based healthcare by being a partner of choice in an evolving healthcare system and offering patient-centric solutions that meet local healthcare system needs.

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