[1] The concept was introduced in 2006 by Michael Porter and Elizabeth Olmsted Teisberg, though implementation efforts on aspects of value-based care began long before them in the 1990s.
[2][3] VBHC emphasizes systematic measurement of outcomes and costs, restructuring provider organizations, and transitioning toward bundled payments.
[2] Within this framework, cost reduction alone is not seen as proper strategy for healthcare systems: health outcomes have to improve to enhance value.
[6][7] Additionally, several studies report incoherent implementation efforts, and there seem to be various interpretations of VBHC, both within and across countries.
[12] It is for this reason that patient experience surveys, namely CAHPS surveys, are national reporting requirements for several value-based purchasing programs, such as the Hospital Value-Based Purchasing (VBP) Program.