Özet:

Today, the fee-for-service model is widely used in the health sector and the volume of the service is mainly rewarded in this model. Rewarding volume means more service delivery and more cost. The value-based management approach in health was introduced by Porter and Teisberg in 2006. The aim of this approach is to achieve high value. The concept of value is defined as health outcomes according to inputs that can be converted into money. If value increases, the sustainability of the health system increases, and all stakeholders can benefit. In many areas of the health sector, value-based approaches are used, but one of them is value-based payment. In contrast to the fee-for-service model, value-based payment models reward all providers, including hospitals and physicians, for providing high quality and cost-effective care that produces positive results. There are some implementation difficulties in value-based payment models; such as determining reward and performance criteria, receiving a portion of the payment after service delivery, measuring costs, ensuring coordination between stakeholders, distribution of risks between parties. But it provides many benefits such as increasing service quality, reducing health care costs, increasing payment efficiency for payer, providing evidence-based care, reducing complications, strengthening coordination of care and increasing reimbursement. The aim of this study is to create a general framework for the use of value-based payment models and to reveal the points to be considered in the transition to value-based payment.

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