How nations can adopt value-based care on the path to universal health coverage
 

Human-centered health systems

We all want and need health systems that are human-centered. At Leapfrog to Value we believe that such systems can produce better health and societal outcomes at a better cost.

How do we build human-centered health systems? 

  • Take a holistic view of human flourishing, addressing the social, behavioral, environmental, and spiritual aspects of wellness, in addition to the biomedical

  • Invest in compassionate and high-quality care that emphasizes prevention in the community, reducing the need for costly drugs and procedures

  • Prioritize health over healthcare. Buying more healthcare doesn’t produce better health; research shows that only ~10% of of outcomes can be attributed to medical interventions.

 
 

Value-based care is a strategy for building human-centered health systems

Value-based care puts forth best practices in how we measure, deliver, and pay for care.

While value-based care has been embraced by the public and private sectors globally (World Health Organization, G20, World Economic Forum), low and middle-income countries(LMICs) have been left out of the dialogue.

We seek to change that. We believe that value-based care can help LMICs bolster the quality of healthcare systems, by making care more patient-centered and thereby improving demand, and by systematically steering more resources to address social, environmental, and behavioral determinants of health. Value-based care models can also optimize costs by rewarding providers for being stewards of resources.

 

Measure

What a health system chooses to measure is its North Star. It guides how it learns, improves, and innovates. It is the basis for how success is defined and how resources flow.

If the goal is to maximize value, measuring value is imperative.

Value = outcomes that matter most to patients/costs to achieve those outcomes

The numerator in the value equation is human-centered outcomes. For a mother and her newborn, this is not only a delivery at term without complications. It’s also a fulfilling birth experience and success with feeding.

The denominator is the costs required to achieve those outcomes. For the same mom and newborn, these are the combined costs of antenatal services, delivery, and post-natal care. This comprehensive view reveals to us when investments in healthy pregnancies are offset by the lower likelihood of complications.


bg 2.jpg

Deliver

Value-based delivery is built around human-centered care pathways. For each pathway, providers routinely review value-based data and use those insights to continuously improve care.

This focus leads systems to emphasize preventive care in community and primary care settings when possible, providing access to hospital-based treatment when necessary.

What might this look like for diabetes?

  • Proactively reaching out to patients who are at high risk

  • Supporting people in lifestyle changes, drawing on behavioral science and the wisdom of frontline providers

  • Investing in innovative at-home technology that “pays for itself” by improving outcomes and reducing the long-term costs of uncontrolled diabetes


bg 2.jpg

Pay

The flow of resources in a system can act as the invisible hand that shapes how and where care is delivered, how the health sector recruits talent, and which facilities and infrastructure attract investment.

Given these far-reaching implications, it is important that payment design reflects a health system’s priorities.

This means aligning budgets and payment schemes with the highest-value interventions.

For cancer care, this may mean dissociating a doctor’s income from the decision to prescribe diagnostics, drugs, and procedures. In addition, it can mean rewarding providers for delivering high-quality, compassionate care.

bg 2.jpg
 

Why embrace a value-based approach now?

Window of  opportunity: Historically, health systems in low- and middle-income countries have taken a volume-based approach to health rather than a value-based one. The public sector has focused on coverage rates or access, and the private sector profits when it drives quantity of expensive, hospital-based care. Adhering to this path will create long-lasting structural flaws that increase costs without delivering desired results, similar to what we see in many developed economies. We at Leapfrog to Value believe that LMICs have a window of opportunity to leapfrog to a value-based approach.

Care after Covid The global pandemic has generated tailwinds for bold change in the health sector. It has elevated health system strengthening as a priority, accelerated the uptake of innovation, and underscored a need to restore trust in our health systems. Leapfrog to Value and its partners are harnessing these tailwinds.

 

Our Work

Picture4.jpg
 

We partner with global and local institutions to unlock the value of human-centered health systems for patients, providers, and payers in India, South Africa, Ghana, Kenya and beyond.

Innovation

Through rigorous experimentation, we test our core hypothesis that human-centered health systems produce better outcomes at a better cost.
We do this with partners who are prepared to scale what works.

Knowledge

We develop trainings, tools, and case studies that enable other health system leaders to integrate value-based care best practices with their work.

Advocacy

We make the case for health system transformation to leaders in the public and private sectors.

 

Platform for innovation

Our platform facilitates collaboration between provides, payers, and donors, We support these partners in the design of human-centered health innovations. Through rigorous experimentation, we test our core hypothesis that human-centered health systems produce better outcomes at a better cost

 

Patients

Patient advocacy groups shaping human-centered health care.

Providers

Public and private.Selected for innovation and commitment to human-centered care.

Payers

Governments, public & private health insurance schemes.

Donors

Committed to scalling human-centered models alongside major payers.

 
 
 

Team

Our work requires an entrepreneurial team that is professionally multilingual—conversant in public health, medicine, design, economics, management, and technology.

 
Chintan Maru
CEO and Founder
 
Balkrishna Korgaonkar
COO
 
Joanne Ke Edelman
Advisor, Digital Health
 
Whitney Adams
Advisor, Innovative Finance
 
Andrew Stern
Advisor, Strategy
 
Elizabeth VanDerWoude
Finance Director
 

Leapfrog to Value collective

Picture446.jpg
 

Leapfrog to Value is a field-building organization dedicated to promoting value-based care in low- and middle-income countries such as India, Kenya, South Africa, and Ghana. Our mission revolves around three core activities:

  1. Design and Implementation Support: We collaborate with major payers and providers to design and implement value-based care programs. Our goal is to transform healthcare systems by aligning resources and incentives to improve the quality of care and respond to patient priorities.

  2. Knowledge Building and Dissemination: We develop and share knowledge products that facilitate the growth of the value-based care movement. By providing insights, tools, and best practices, we empower healthcare stakeholders to adopt and advance value-based care approaches.

  3. Coalition Facilitation: We facilitate coalitions at both local and global levels to unite stakeholders around the common goal of value-based care. These coalitions foster collaboration, share experiences, and drive collective action to enhance healthcare delivery.

Leapfrog to Value is housed at the Global Development Incubator (GDI), an organization with a decade-long track record of launching transformative systems-change initiatives.

Our other members include:

About Percept

Percept is a South African trans-disciplinary consultancy driven by heart and curiosity, forging enduring relationships with clients who are also working towards a healthier, more financially resilient world. Founded by Shivani Ranchod and Dave Strugnell, both of whom are actuaries with an academic background. The leap from academia to Percept is surprisingly small: deep curiosity, an endless supply of problems worth solving and questions worth answering, an appreciation of intellectual rigor, and the desire to create a learning environment in which people can thrive. Percept’s team boasts of skills across healthcare policy, public sector budgeting and financial governance, analytical leadership, value-based care and measurement of quality of healthcare, and robust quantitative modeling. 

 
Shivani Ranchod
Close Advisor, Percept; Co-founder Alignd
 
Dave Strugnell
Dave Strugnell
Co-founder
 
Ndileka Mbete
Ndileka Mbete
Lead, Percept Actuaries and Consultants
 
Ursula Torr
Close Advisor
 
Dr. Nicole Daniels
Dr. Nicole Daniels
Maternity Expert
 
Antonia Roth
Antonia Roth
Public Health & Actuarial Analyst
 
Tahmeed Omar
Tahmeed Omar
Integrated Marketing Communicator
 
Shenaz Munshi
Shenaz Munshi
Independent Consultant
 

About Access Health International

Access Health is a leading think tank, advisory group and implementation partner. They work closely with the government, donor organizations, and national and international researchers to address issues at the systems level and improve and strengthen the overall healthcare system in India. Access Health work is organized around five core elements within a health system: Health Systems Governance, Health Finance, Healthcare Provision, Digital Health, and Community Health.

Leapfrog to value and Access health will work together to design and implement innovative pilots that test the core hypothesis: “Human-centered health systems deliver better outcomes at a better cost.” It is expected that these pilots will provide useful lessons to public and private insurance schemes as India advances toward Universal Health Coverage. Together, we will build capabilities within the health ecosystem, enabling providers, payers, and policymakers to apply contextual value-based care to their own work. Finally, the Partnership will make the case for embracing value-based care to public and private sector leaders in India.

 
 
Dr. Krishina Reddy
Chief Executive Officer
 
Girish Bommakanti
Director Operations & Strategic Growth - South Asia, Middle East and Africa
 
Maulik Chokshi
Deputy Country Director (Technical)
 
Dr. Anju Aggarwal
Lead - Health Insurance and Financing
 
Kavita Jha
Technical Specialist - Healthcare Operations
 
Kaleem Mohammad
Consultant - Healthcare Practice
 
Himani Sethi
Lead - Health Systems Capacity Building
 
 

About PharmAccess

PharmAccess believes in doing healthcare better. With a focus on sub-Saharan Africa, they are an international organization that works on improving healthcare markets so that they can deliver for everyone.

With headquarters in Amsterdam and most of its staff based in four country offices across Africa, the PharmAccess Group is an organization with a history of reimagining what is possible. They challenge the notion that exclusion from healthcare is an inevitable consequence of living in poorer countries and identify the opportunities and partners - both private and public, needed to bring about transformation.

Through public-private partnerships, PharmAccess focuses on promoting basic health insurance plans and other innovative demand-side financing options to protect people from financial hardship; introducing quality standards and improvement methodologies for health care providers to increase transparency and stimulate efficiencies; facilitating and stimulating loans, business support, and investments for private health care providers; and innovating value-based health care solutions and financing, using data to empower health care consumers, patients, doctors and financiers alike.

 
Nicole Speiker
CEO - PharmAccess group (Headquarters)
 
Kwasi Boahene
Director Health Systems at PharmAccess (Headquarters)
 
Kwasi Owusu Antwi
Kwasi Owusu Antwi
Business Lead, Innovative Care Models (Ghana)
 
Doreen Efua Amoatin
Doreen Efua Amoatin
Project Lead, Value-Based Care (Ghana)
 
Marjin Bergsma
Marjin Bergsma
Innovation Lead, Non-Communicable Diseases (Headquarters)
 
Angela Kamakil Siteyi
Angela Kamakil Siteyi
Director, Health Innovations (Kenya)
 
Dr. Nkirote Kalaine
Dr. Nkirote Kalaine
Program Manager (Kenya)
 
Julie Flesicher
Julie Flesicher
Manager, Value-Based Care (Headquarters)
 

About the Max Institute of Healthcare Management (MIHM), Indian School of Business

The Max Institute of Healthcare Management (MIHM) at the Indian School of Business is a leading interdisciplinary research center specializing in healthcare delivery and management. It provides critical insights to policymakers, public institutions, and corporations, shaping better health systems through innovative research, education, and outreach.

MIHM’s core activities include pioneering research and thought leadership to design effective healthcare policies and programs, and delivering education that prepares students to be exceptional contributors to the healthcare industry. The institute also develops pedagogical tools to integrate industry innovations into classrooms and engages in extensive outreach activities. These outreach efforts involve collaborating with stakeholders such as government entities, corporations, foundations, students, and alumni through speaker series, conferences, and roundtables.

By bridging academia with real-world applications, MIHM influences policy and industry practices, cultivating future healthcare leaders with a focus on evidence-based practices and leadership development. Through its commitment to outreach, MIHM promotes community health awareness and advocates for sustainable healthcare solutions globally.

 
Dr. Sarang Deo
Executive Director, Max Institute of Healthcare Management; Professor, Indian School of Business
 
Subhiksha Shankarraman
Subhiksha Shankarraman
Research Analyst
 
 
 

About the International Consortium of Health Outcome Measurement (ICHOM)

The International Consortium of Health Outcome Measurement (ICHOM) is a pioneering force in advancing value-based healthcare globally. Founded by Prof. Michael Porter, BCG, and the Karolinska Institute, ICHOM defines and promotes global Standard Sets of patient-centered health outcomes, currently encompassing 39 sets. These sets are pivotal in guiding healthcare providers and systems toward delivering outcomes that matter most to patients.

ICHOM's mission extends beyond definition; it actively drives the adoption and standardized reporting of these measures worldwide. By leveraging the value-based care framework, ICHOM seeks to optimize healthcare delivery, enhance patient care experiences, and improve overall health system performance on a global scale.

 

Our partners & supporters

MicrosoftTeams-image%2B%25283%2529.jpg
 

L2V partners

Other partners

Donors & supporters

 

Partner with us

Leapfrog to Value brings together patients, providers, and payers to design value-based care models, support experimentation, and develop strategies for scale.​

We collaborate with providers, payers, patients, and donors. We support our partners in the design of human-centered health innovations. Through rigorous experimentation, we test our core hypothesis that human-centered health systems produce better outcomes at a better cost

  • Our approach is tailored to fit our partners’ needs. We facilitate the design process through collaborative workshops and iterative blueprinting.

    1.Identify “tip-of-the-spear” opportunities for experimentation. This may be a patient segment and/or geographic area. If we focus on a disease vertical, we do this diagonally: building toward an integrated model.

    2. Understand value drivers. Through data analysis, secondary research, and expert consultation, we discover what drives value and identify opportunities to improve.

    3. Develop a value-based care model

    1. Measure: Define metrics that are feasible to track and actionable.

    2. Deliver: Design the patient journey employing human-centered design methods.

    3. Pay: Define payment and financing models that are linked to value metrics, integrating financial and non-financial incentives for frontline providers.

    4. Develop plan for evidence generation, ensuring evidence can inform policy and/or business decisions. This includes setting performance baseline and targets.

    5. Develop an implementation plan, including people, processes, technologies, and budget.

    6. Define the partnership structure between patients, providers, and payers.

    7. Mobilize funding for experimentation from philanthropic, private, and/or public sectors.

  • We recognize that great design is nothing without excellent follow-through. After the design phase, Leapfrog to Value tailors strategic, technical, and implementation support \ to complement the needs of our partners. We provide these services through our core team and affiliates. Read more about our team and affiliates  

At, Leapfrog to Value we work with payers and providers in both public and private sectors. These organizations are looking to test and scale value-based care models in their operating context.

Please reach out to us if you are, for example:

  1. An innovative healthcare provider that wants to demonstrate the value of your model to public and/or private payers who can scale your work

  2. A government health insurance scheme that wants to introduce value-based purchasing models that align provider payments with quality and outcomes.

  3. A health insurance company that wants to develop affordable products that promote health and wellness.

  4. A state or national health ministry that wants to create visibility and accountability for value generated for patients.

  5. A donor that wants to scale innovative delivery models through public and private payers, or that wants to integrate value-based care into outcomes-based financing programs.

 

Resources

unsplash-image-wJK9eTiEZHY.jpg
 

Flagship Reports: In our flagship reports we offer in-depth insights into value-based care solutions and evidence-based strategies for transforming healthcare systems and enhancing patient outcomes

 

Policy Briefs: Our series of three policy briefs offers a holistic guide to Patient-Reported Outcome Measures (PROMs), including fundamentals, implementation strategies, and examples of PROMs and Patient-Reported Experience Measures (PREMs)

 

Maternal Health: Our maternal health reports provide an in-depth analysis and cutting-edge strategies in value-based care, aimed at enhancing maternal and neonatal health outcomes through evidence gathered from various global contexts

 

HIV: Discover our HIV reports for insights and forward-thinking approaches in value-based care, focused on advancing HIV management and patient outcomes through global evidence and best practices

Contact us

Please complete the form below

Sign up for our newsletter!