Measurement

Is the guiding star. It guides how human-centered health systems can learn, improve, and innovate.  It is the basis for how success should be defined and how resources should flow.

• The numerator of value is the human-centered outcomes. This is not only mortality and morbidity. But also, patient experience of care and being able to lead high-quality life..

• The denominator of value is the costs required to achieve those outcomes. These are not insurance claims, but the resources we invest over the whole course of a patient journey—prevention and treatment.

  “We cannot manage what we do not measure”

  - Peter Drucker -

Delivery

The health systems must keep evolving. That is only possible with experimentation, for which providers must be empowered to address the most important drivers of health. We include drivers beyond the traditional domain of healthcare and include social, behavioral, and environmental factors. In the process, the providers become stewards of the resources they manage.

Health systems should be designed to maximize the value they deliver. This should guide policy makers, payers and providers

Payment

Human-centered health systems pay for value to incentivize continued improvement. Doing so can influence when, where and how care is delivered. Additional incentives for caring for the most vulnerable must also be provided

Payment is the invisible hand that directs resources throughout the system. If we care about value, we should pay for value.

Integrating the three

Globally there is a growing consensus around aligning measurement, delivery and payment to deliver better human-centered outcomes. Yet, in practice, they haven’t been connected at scale. When we measure value, we don’t necessarily pay for it. Even paying for value may be ineffective if  we do not give providers enough flexibility to optimize care. 

At leapfrog to value our goal is to catalyze an ecosystem in LMICs to drive higher value. Our work focuses on integrating value–based measurement, delivery, and payment innovations to bring a human-centered health system to life.