Value-Based Health Care


The course provides the necessary tools for the future physicians to be able to understand the concept and the implications of the concept of Value-Based Health Care (VBHC), and to be prepared to work effectively in contexts of VBHC delivery, or even lead, within health care organizations, the transformation that the implementation of the concept of VBHC in the field requires.

General characterization





Responsible teacher

Prof. Doutor João Marques Gomes


Weekly - Available soon

Total - Available soon

Teaching language





Reference book
• Porter, Michael E., and Elizabeth O. Teisberg. Redefining Health Care: Creating Value-Based Competition on Results. Boston: Harvard Business School Press, 2006.

• Cimeira de Cascais:
• Portugal Value Meeting for Health and Care 2018:
• Conferência ICHOM em Portugal:

Teaching method

The classes are theory-practical classes and are 2 hours long. The classes have an exposition component and an interactive component. The course combines the discussion of theoretical concepts with a strong practical side supported by the discussion of real examples and case studies. The students are required to have an active participation in class.

Evaluation method

The final exam is a multiple-choice exam. It is mandatory and covers the entire spam of the course. The weight of the final exam is 50% of the final grade. The remainder of the evaluation consists of class participation and attendance (10%) and field work (40%).

Subject matter

1. Introduction
1.1. Growth in health care expenditures
1.2. Implication of variation in health outcomes
1.3. Notions of efficiency and effectiveness
1.4. Payment models in health care

2. The concept of Value-Based Health Care (VBHC)
2.1.  What is exactly VBHC? What is value in health care?
2.2. What are the advantages of VBHC? Why is VBHC better? Is it always better?
2.3. How VBHC might contribute to aligning the objectives of all stakeholders?
2.4. What is the value transformation challenge?

3. Value measurement for health care
3.1. How can value in health care be measured in practice? How can the stakeholders measure value in health care? Patient Reported Outcomes Measures (PROMs) and Patient Reported Experience Measures (PREMs)
3.2. Outcomes that matter to patients
3.3. The ICHOM standard sets - how are they made and how are they implemented?
3.4. IT for collecting and storing data

4. Costing
4.1. Costing methodologies in health care organizations
4.2. Time-Driven Activity Based Costing
4.3. Process mapping of the patient pathway

5. Value-based health care delivery
5.1. The Integrated Practice Units
5.2. Health care delivery with multiple facilities and at multiple locations
5.3. How can VBHC be monitored?
5.4. Business analytics & performance management

6. Value-based contracting
6.1. Innovative provider payment strategies
6.2. Real World Evidence, drugs & medical devices

7. Challenges in implementing VBHC
7.1. Can one go for VBHC alone or is it necessary to get everyone on board?
7.2. What are the pre-requisites for VBHC?
7.3. How can one lead transformation towards VBHC? How would everything adjust?
7.4. Leadership, culture & change management
7.5. Organizational ethics


Programs where the course is taught: